Provider Demographics
NPI:1386982841
Name:MBANYAMSIG, BEATRICE ANGECK (RN)
Entity type:Individual
Prefix:
First Name:BEATRICE
Middle Name:ANGECK
Last Name:MBANYAMSIG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2253 LIMESTONE WAY
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-5752
Mailing Address - Country:US
Mailing Address - Phone:937-212-0394
Mailing Address - Fax:
Practice Address - Street 1:2253 LIMESTONE WAY
Practice Address - Street 2:
Practice Address - City:MIAMISBURG
Practice Address - State:OH
Practice Address - Zip Code:45342-5752
Practice Address - Country:US
Practice Address - Phone:937-212-0394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH360864163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse