Individual provider · NPI-1

Tanya Ernest Banks, ARNP

Nurse Practitioner, Pediatrics · Gainesville, FL

NPI number1306834403
StatusActive
Last updated in NPPESOct 29, 2014

Details

NPI
1306834403
Entity type
Individual (NPI-1)
Name
Tanya Ernest Banks
Credential
ARNP
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 12, 2005
Last updated
Oct 29, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsARNP3059782FLYes

Practice location

6440 W Newberry Rd
Suite 402
Gainesville, FL 32605-4381

Phone 352-333-5500 · Fax 352-333-5506

Mailing address

6440 W Newberry Rd
Suite 402
Gainesville, FL 32605-4381

Phone 352-333-5500 · Fax 352-333-5506

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