Emilia Banse Pmhnp-Bc PLLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Santa Rosa Beach, FL. Organization (NPI-2).
NPI number1164044004
StatusActive
Last updated in NPPESMay 14, 2020
Details
- NPI
- 1164044004
- Entity type
- Organization (NPI-2)
- Legal business name
- Emilia Banse Pmhnp-Bc PLLC
- Organization subpart
- No
- Enumeration date
- May 14, 2020
- Certification date
- May 14, 2020
- Last updated
- May 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Other names
- Emilia Banse (Doing Business As)
Practice location
120 Golden Eagle CtSanta Rosa Beach, FL 32459-8344
Phone 202-876-8787
Mailing address
120 Golden Eagle CtSanta Rosa Beach, FL 32459-8344
Phone 202-876-8787
Authorized official
Emilia M Banse
Nurse Practitioner/Owner
2028768787
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