Individual
MARY TESSIE THULLAH BANGURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP-PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
NP1009163
DC
363LG0600X
Gerontology Nurse Practitioner
R161437
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NP1009163
DC
Other
Enumeration date
08/20/2021
Last updated
07/14/2026
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