Organization
RB ANGELS HAVEN HEALTH CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY TESSIE THULLAH BANGURA MD (DNP)
(202) 730-6559
Entity
Organization
Contact information
Practice address
2603 HAMLIN ST NE, WASHINGTON, DC 20018-2530
(202) 730-6559
(202) 574-1918
Mailing address
2603 HAMLIN ST NE, WASHINGTON, DC 20018-2530
(202) 730-6559
(202) 574-1918
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/24/2026
Last updated
08/19/2026
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