Joanna Wiktoria Banasik, RN
Nurse Anesthetist, Certified Registered in Clinton Township, MI. Individual provider (NPI-1).
NPI number1497339915
StatusActive
Last updated in NPPESNov 11, 2024
Details
- NPI
- 1497339915
- Entity type
- Individual (NPI-1)
- Name
- Joanna Wiktoria Banasik
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 11, 2021
- Certification date
- Nov 11, 2024
- Last updated
- Nov 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704298007 | MI | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
36850 Barr StClinton Township, MI 48035-1906
Phone 586-489-0008
Mailing address
36850 Barr StClinton Township, MI 48035-1906
Phone 586-489-0008
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