Individual provider · NPI-1

Jennifer A Banda, CNM

Advanced Practice Midwife · Tacoma, WA

NPI number1629492673
StatusActive
Last updated in NPPESJun 7, 2016

Details

NPI
1629492673
Entity type
Individual (NPI-1)
Name
Jennifer A Banda
Credential
CNM
Sex
Female
Sole proprietor
No
Enumeration date
Feb 11, 2014
Last updated
Jun 7, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367A00000X Advanced Practice MidwifeAP60427514WAYes
367A00000X Advanced Practice Midwife001609NY
176B00000X Midwife001609NY

Other names

  • Jennifer A Reynick (Former Name)

Practice location

1608 S J St
Floor 1
Tacoma, WA 98405-4930

Phone 253-274-7501 · Fax 253-274-7991

Mailing address

1608 S J St
Floor 1
Tacoma, WA 98405-4930

Phone 253-274-7501 · Fax 253-274-7991

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