NPI 1386770337 · live from the CMS NPI Registry
Nancy Cantey Banasiak, APRN, BC
Nurse Practitioner, Pediatrics in New Haven, CT. National Provider Identifier 1386770337, active.
NPI record
| NPI | 1386770337 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 789 Howard Ave, New Haven, CT 06519 |
| Practice phone | 203-737-2417 |
| Mailing address | 66 Quail Run, Madison, CT 06443 |
| Enumerated | February 26, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 000926 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.