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Nina Philicia Bangu, RN, BSN

Nursing Care in Elk River, MN. Individual provider (NPI-1).

NPI number1164043683
StatusActive
Last updated in NPPESMay 6, 2020

Details

NPI
1164043683
Entity type
Individual (NPI-1)
Name
Nina Philicia Bangu
Credential
RN, BSN
Sex
Female
Sole proprietor
Yes
Enumeration date
May 6, 2020
Certification date
May 6, 2020
Last updated
May 6, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251J00000X Nursing Care1103992MNYes

Practice location

18837 Smith Dr Nw
Elk River, MN 55330-7510

Phone 763-291-1069

Mailing address

18837 Smith Dr Nw
Elk River, MN 55330-7510

Phone 763-291-1069

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