Provider Demographics
NPI:1104448109
Name:NIANG, BINTA (MSM)
Entity type:Individual
Prefix:
First Name:BINTA
Middle Name:
Last Name:NIANG
Suffix:
Gender:F
Credentials:MSM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7541 24TH AVE SW APT 1
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98106-1763
Mailing Address - Country:US
Mailing Address - Phone:808-724-1038
Mailing Address - Fax:
Practice Address - Street 1:2705 E MADISON ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-4738
Practice Address - Country:US
Practice Address - Phone:808-724-1038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-12
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife