Bangu, Nina Philicia
Bangu, Nina Philicia is an sole proprietor health care provider with primary practice located at 18837 Smith Dr Nw , Elk River MN 55330-7510. She recently has only one registered license in Agencies / Nursing Care, which is considered as her primary health care specialty. Bangu, Nina Philicia can be contacted via phone (763) 291-1069.Contact Information
Primary practice address
18837 Smith Dr Nw
Elk River MN 55330-7510
Phone: (763) 291-1069
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Nursing Care | 251J00000X | 1103992 | Minnesota |
Profile Details
| NPI number | 1164043683 |
|---|---|
| LBN Legal business name | Bangu, Nina Philicia |
| Credentials | RN, BSN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 6th, 2020 |
| Last updated | May 6th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164043683 | NPPES |
| Minnesota | Other | 0001057364 | WAIVERS |
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