Individual
NADIA E BANGURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6355 WALKER LN STE 507, ALEXANDRIA, VA 22310-3251
(703) 738-4332
(703) 971-4605
Mailing address
11350 MCCORMICK RD, EXECUTIVE PLAZA 1, STE. 501, HUNT VALLEY, MD 21031
(709) 914-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007850
VA
363A00000X
Physician Assistant
C0008046
MD
Other
Enumeration date
10/31/2019
Last updated
09/18/2024
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