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Contact Information

BERNADETTE A BANGNAM, FNP, WHNP
6305 IVY LN STE 101
GREENBELT, MD20770-6326
 Phone: 301-235-0060
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Women's Health Care, Ambulatory

163WW0101X
Indicates primary specialty

NPI Profile & details for BERNADETTE A BANGNAM · (Female)

NPI # 1508827809
Status Active
Credentials FNP, WHNP
Entity Individual
Enumeration date 03/28/2006
Last updated 03/05/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MD License # R221746
  • TX License # 458639
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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