Individual
ELIZABETH OURAI BANGURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
23 S CHESTER PIKE, GLENOLDEN, PA 19036-1830
(484) 206-4544
Mailing address
2019 RAVENWOOD RD, FOLCROFT, PA 19032-1508
(267) 324-2655
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SPO23193
PA
Other
Enumeration date
02/10/2021
Last updated
03/03/2021
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