Individual
KADIATOU DIALLO-BANGURAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
106 DERRY HEIGHTS BLVD, LEWISTOWN, PA 17044-8648
(717) 447-0340
(717) 447-0344
Mailing address
100 SHENANGO AVE, SHARON, PA 16146-1503
(717) 447-0340
(717) 447-0344
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP030869
PA
Other
Enumeration date
05/02/2012
Last updated
10/18/2024
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