NPI 1386801447 · live from the CMS NPI Registry
Kristina Banks, CPNP
Nurse Practitioner, Pediatrics in South Euclid, OH. National Provider Identifier 1386801447, active.
NPI record
| NPI | 1386801447 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 2054 S Green Rd, South Euclid, OH 44121 |
| Practice phone | 216-291-9210 |
| Enumerated | May 16, 2008 |
| Last updated | May 16, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | COA.10016-NP (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.