Individual
NUSRAT BANGASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6719 GALL BLVD STE 204, ZEPHYRHILLS, FL 33542-2569
(813) 782-1147
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 782-1147
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP9402034
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9402034
FL
Other
Enumeration date
11/18/2016
Last updated
12/21/2020
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