| Doctor Name: | ANNE ELIZABETH BANTHER |
| NPI Number: | 1699920298 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, IBCLC |
| License Number: | R 0071326 |
| Business Practice Address: | 137 Wildwood Dr Kingfisher, OK - 737509558 |
| Business Phone Number: | 4052499751 |
| Business Fax Number: | 4053753634 |
| Mailing Address: | 137 Wildwood Dr, KINGFISHER |
| State: | OK |
| Postal Code: | 737509558 |
| Phone Number: | 4052499751 |
| Fax Number: | 4053753634 |
| NPI Enumeration Date: | 11/24/2008 |
| NPI Last Update Date: | 11/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WL0100X |
| License Number: | R 0071326 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Lactation Consultant |
| Taxonomy Definition: | |