Doctor Name: | MRS. CYNTHIA Y BANKS |
NPI Number: | 1255731303 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 76525 |
Business Practice Address: | 407 S 19th St Blair, NE - 680081907 |
Business Phone Number: | 4024262210 |
Business Fax Number: | |
Mailing Address: | 9461 Brentwood Dr Apt 68, LA VISTA |
State: | NE |
Postal Code: | 681288222 |
Phone Number: | 5205485686 |
Fax Number: | |
NPI Enumeration Date: | 08/26/2014 |
NPI Last Update Date: | 10/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 76525 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |