MEDICARE: SAFFIE BANGURA NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	R202947	MD
2	363L00000X	Nurse Practitioner	95032588	CA

General Provider Information

NPI Number	:	1487299673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAFFIE BANGURA NP

Provider Business Mailing Address
First Line	:	7500 HANOVER PKWY STE 105B
Second Line	:
City	:	GREENBELT
State	:	MD
Zip	:	20770-2091
Country	:	US
Telephone Number	:	301-583-8500
Fax Number	:

Provider Business Practice Location Address
First Line	:	7500 HANOVER PKWY STE 105B
Second Line	:
City	:	GREENBELT
State	:	MD
Zip	:	20770-2091
Country	:	US
Telephone Number	:	301-593-8500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/11/2019
Last Update Date	:	01/07/2025

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Directions to “ SAFFIE BANGURA NP” Practice Location

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