Gwendolyn Banes, Registered Nurse
Community Health Worker in San Diego, CA. Individual provider (NPI-1).
NPI number1255824959
StatusActive
Last updated in NPPESAug 26, 2026
Details
- NPI
- 1255824959
- Entity type
- Individual (NPI-1)
- Name
- Gwendolyn Banes
- Credential
- Registered Nurse
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2018
- Certification date
- Aug 26, 2026
- Last updated
- Aug 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | RN655020 | CA | Yes |
Practice location
4017 42nd StSan Diego, CA 92105-1506
Phone 619-236-9492 · Fax 619-236-9127
Mailing address
4017 42nd StSan Diego, CA 92105-1506
Phone 619-236-9492 · Fax 619-236-9127
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All 165 Community Health Worker providers in San Diego · All 61,118 providers in San Diego
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