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MRS. JENNIFER ANN BANEK N.P.

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1255785481

Individual Registrant:
MRS. JENNIFER ANN BANEK N.P.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3630 W TANGERINE RD STE 100  MARANA, AZ 85658-5062 US
Tel: 520-744-3206  Fax: 520-744-3207

Contact information for business:
3630 W TANGERINE RD STE 100  MARANA, AZ 85658-5062 US
Tel: 520-744-3206  Fax: 520-744-3207

Registration Information:
NPI: 1255785481
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AZAP8612

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AZ - Page 1



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