Brianna Banachoski
Nurse Practitioner in Wilkes Barre, PA. Individual provider (NPI-1).
NPI number1114720422
StatusActive
Last updated in NPPESMar 31, 2025
Details
- NPI
- 1114720422
- Entity type
- Individual (NPI-1)
- Name
- Brianna Banachoski
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2025
- Certification date
- Mar 31, 2025
- Last updated
- Mar 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | SP032586 | PA | Yes |
Practice location
1000 E Mountain BlvdWilkes Barre, PA 18711-0027
Phone 570-808-4772
Mailing address
344 Wildflower DrWilkes Barre, PA 18702-7915
Phone 412-398-2426
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