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Idriss Fadika Bangura, RN

Registered Nurse in Westerville, OH. Individual provider (NPI-1).

NPI number1275855751
StatusActive
Last updated in NPPESFeb 24, 2010

Details

NPI
1275855751
Entity type
Individual (NPI-1)
Name
Idriss Fadika Bangura
Credential
RN
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 24, 2010
Last updated
Feb 24, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered NurseRN356256OHYes
163WC1500X Registered Nurse, Community HealthRN356256OH

Practice location

294 Park Rd
Westerville, OH 43081-5680

Phone 614-260-4849

Mailing address

294 Park Rd
Westerville, OH 43081-5680

Phone 614-260-4849

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