JUDY BANNER APRN
NPI 1891043725
Nurse Practitioner - Pediatrics in Oklahoma City, OK
Active since August 27, 2012
About Judy Banner Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUDY BANNER APRN (NPI 1891043725) is an individual pediatrics provider in Oklahoma City, Oklahoma, licensed in Oklahoma (R62457) and active in the NPI registry since August 2012.
NPPES Registry Identity
NPI1891043725
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJUDY BANNERCredential: APRN
Location Address3330 NW 56TH ST, SUITE 400Oklahoma City, OK 73112-4479
Mailing Address1400 Redbud HolwEdmond, OK 73034-9714 · (405) 562-0213
Phone(405) 945-4220
Sole ProprietorNo
Enumeration DateAugust 27, 2012
✔ NPI 1891043725 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in OK · R62457
3330 NW 56TH ST, Oklahoma City, OK 73112
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Radiology (Diagnostic Radiology)
3330 NW 56TH ST, STE 206
OKLAHOMA CITY, OK 73112
OKLAHOMA CITY, OK 73112
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891043725, enumerated as an "individual" on August 27, 2012.
The provider is located at 3330 NW 56TH ST SUITE 400 OKLAHOMA CITY, OK 73112 and the phone number is (405) 945-4220.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.
