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Deanna J Banuskevich, APRN

Nurse Practitioner, Pediatrics in Lebanon, NH. Individual provider (NPI-1).

NPI number1225321680
StatusActive
Last updated in NPPESFeb 3, 2020

Details

NPI
1225321680
Entity type
Individual (NPI-1)
Name
Deanna J Banuskevich
Credential
APRN
Sex
Female
Sole proprietor
No
Enumeration date
May 18, 2011
Certification date
Feb 3, 2020
Last updated
Feb 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics064174-23NHYes
163W00000X Registered Nurse064174-21NH

Practice location

1 Medical Center Dr
Lebanon, NH 03756-1000

Phone 603-650-5133

Mailing address

1 Medical Center Dr
Lebanon, NH 03756-1000

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