Benjamin David Banchek, FNP, DNP-c
Nurse Practitioner, Family in Fort Belvoir, VA. Individual provider (NPI-1).
NPI number1639424146
StatusActive
Last updated in NPPESApr 4, 2025
Details
- NPI
- 1639424146
- Entity type
- Individual (NPI-1)
- Name
- Benjamin David Banchek
- Credential
- FNP, DNP-c
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 20, 2012
- Certification date
- Apr 4, 2025
- Last updated
- Apr 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 993437 | CO | Yes |
| 363LF0000X | Nurse Practitioner, Family | 160115 | CO |
Practice location
9300 Dewitt LoopFort Belvoir, VA 22060-5285
Phone 803-751-2789
Mailing address
4500 Stuart Street, Room(S) #1-56 & 1-56aMoncrief Army Community Hospital Atm: Mcxl-Pq (Credenti
Fort Jackson, SC 29207-5720
Phone 803-751-2789
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