Susan Deborah Banning, CNP
Nurse Practitioner, Family in Maumee, OH. Individual provider (NPI-1).
NPI number1407126980
StatusActive
Last updated in NPPESJul 30, 2025
Details
- NPI
- 1407126980
- Entity type
- Individual (NPI-1)
- Name
- Susan Deborah Banning
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 30, 2011
- Certification date
- Jul 30, 2025
- Last updated
- Jul 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | COA.12761-NP | OH | Yes |
Practice location
5757 Monclova Rd Ste 26Maumee, OH 43537-1863
Phone 419-893-5557 · Fax 419-424-3870
Mailing address
5757 Monclova Rd Ste 26Maumee, OH 43537-1863
Phone 419-893-5557 · Fax 419-893-5199
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