Doctor Name: | GRETCHEN T. BANKER |
NPI Number: | 1245416213 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 0024167042 |
Business Practice Address: | 16240 Bennett Rd Culpeper, VA - 227014630 |
Business Phone Number: | 5408255951 |
Business Fax Number: | 5408255971 |
Mailing Address: | Po Box 9007, CHARLOTTESVILLE |
State: | VA |
Postal Code: | 229069007 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/21/2008 |
NPI Last Update Date: | 03/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024167042 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |