Provider Demographics
NPI:1801778436
Name:BADIANE, BINTOU (PROVIDER)
Entity type:Individual
Prefix:
First Name:BINTOU
Middle Name:
Last Name:BADIANE
Suffix:
Gender:F
Credentials:PROVIDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:187 CARL BRINKLEY CIR
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32114-3609
Mailing Address - Country:US
Mailing Address - Phone:917-569-3158
Mailing Address - Fax:
Practice Address - Street 1:187 CARL BRINKLEY CIR
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-3609
Practice Address - Country:US
Practice Address - Phone:917-569-3158
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty