Amber Williams Banta, MSN, RN, CPNP-PC
Nurse Practitioner, Pediatrics in Richmond, VA. Individual provider (NPI-1).
NPI number1699174417
StatusActive
Last updated in NPPESJun 20, 2024
Details
- NPI
- 1699174417
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amber Williams Banta
- Credential
- MSN, RN, CPNP-PC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2014
- Certification date
- Jun 20, 2024
- Last updated
- Jun 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 0024187003 | VA | Yes |
| 363LP0200X | Nurse Practitioner, Pediatrics | 5007095 | NC |
Practice location
1000 E Broad StRichmond, VA 23219-1930
Phone 804-828-2467 · Fax 804-628-5852
Mailing address
Po Box 780125Philadelphia, PA 19178-0125
Phone 804-922-4844
Other practice locations
4005 Oleander Dr
Wilmington, NC 28403-6816
Wilmington, NC 28403-6816
Phone 910-790-9949
2131 S 17th St
Wilmington, NC 28401-7407
Wilmington, NC 28401-7407
Phone 910-667-7360
1250 E Marshall St
Richmond, VA 23298-5023
Richmond, VA 23298-5023
Phone 804-828-2467 · Fax 804-628-5852
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