Provider Demographics
NPI:1841156692
Name:MORANGA, GEOFFREY ABUSA
Entity type:Individual
Prefix:
First Name:GEOFFREY
Middle Name:ABUSA
Last Name:MORANGA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5217 DUVALL PL NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-3820
Mailing Address - Country:US
Mailing Address - Phone:952-594-4415
Mailing Address - Fax:
Practice Address - Street 1:5217 DUVALL PL NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-3820
Practice Address - Country:US
Practice Address - Phone:952-594-4415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-24
Last Update Date:2025-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2482231163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty