Individual provider · NPI-1

Julie M. Banda, NP

Nurse Practitioner, Pediatrics · Milwaukee, WI

NPI number1508053505

StatusActive

Last updated in NPPESAug 8, 2023

Details

NPI: 1508053505
Entity type: Individual (NPI-1)
Name: Ms. Julie M. Banda
Credential: NP
Sex: Female
Sole proprietor: No
Enumeration date: Oct 3, 2007
Certification date: Aug 4, 2023
Last updated: Aug 8, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LP0200X	Nurse Practitioner, Pediatrics	147604	WI	Yes

Other names

Julie M Heyrman (Former Name)

Practice location

9000 W Wisconsin Ave
Pediatric Gastroenterology
Milwaukee, WI 53226-4874

Phone 414-266-1579 · Fax 414-266-3676

Mailing address

9000 W Wisconsin Ave
Pediatric Gastroenterology
Milwaukee, WI 53226-4874

Phone 414-266-1579 · Fax 414-266-3676

Other practice locations

4855 S Moorland Rd
New Berlin, WI 53151-7494

Phone 414-607-5280 · Fax 414-607-5288

2575 E Evergreen Drive
Appleton, WI 54913

Phone 920-969-5353 · Fax 414-337-7201

555 Redbird Cir Ste 200
De Pere, WI 54115-7979

Phone 920-445-7272 · Fax 920-338-6879

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