Individual
MS. HANNAH BANGURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
880 N. COLORADO STREES, GILBERT, AZ 85233
(480) 820-0825
(480) 763-6007
Mailing address
4025 W. CHANDLER BLVD STE 1, CHANDLER, AZ 85226
(480) 763-0333
(480) 763-6007
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
RN102802
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN102802
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN102802
—
AZ
01
—
Z173724
PTAN
AZ
Enumeration date
02/03/2014
Last updated
07/31/2020
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