1. Home
  2. Directory
  3. NPI Profile

ELIZABETH L BANDA APRN NP-C LLC
NPI 1972967883
Nurse Practitioner - Family in Bonanza, AR

Active since April 06, 2016
920 S HIGHWAY 45, BONANZA, AR 72916(479) 255-6150 Get Directions Write a Review

NPPES record last updated: April 6, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elizabeth L Banda Aprn Np-c Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH L BANDA APRN NP-C LLC (NPI 1972967883) is a healthcare organization registered as a family in Bonanza, Arkansas and active in the NPI registry since April 2016. The organization lists Elizabeth L Banda, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1972967883
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameELIZABETH L BANDA APRN NP-C LLC
Location Address920 S HIGHWAY 45Bonanza, AR 72916-3420
Mailing Address112 Teakwood DrPoteau, OK 74953-2244
Phone(479) 255-6150
Organization SubpartNo
Authorized OfficialElizabeth L BandaSole Member · (918) 721-3955
Enumeration DateApril 6, 2016
✔ NPI 1972967883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AR · A004191
920 S HIGHWAY 45, Bonanza, AR 72916
Open in Google Maps ↗

Other Identifiers 3

Medicare UPIN453389YQDZOK
Medicare UPIN367562YX2TAR
Medicaid200597420AOK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIVER VALLEY PRIMARY CARE SERVICES
Pharmacy (Community/Retail Pharmacy)
920 S HIGHWAY 45
BONANZA, AR 72916
Sebastian County (479) 279-7691
RIVER VALLEY PRIMARY CARE SERVICES
Clinic/Center (Federally Qualified Health Center (FQHC))
920 S HIGHWAY 45
BONANZA, AR 72916
Sebastian County (479) 431-2057
DR. BRITTNEY BELAND SCHMIDT DNP, NP-C
Nurse Practitioner (Family)
920 S HIGHWAY 45
BONANZA, AR 72916
Sebastian County (479) 279-7690
KATIE ELIZABETH CORMIER MCBROOM PHARMD
Pharmacist
920 S HIGHWAY 45
BONANZA, AR 72916
Sebastian County (479) 279-7691

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth L Banda Aprn Np-C LLC's NPI number?

The NPI number for Elizabeth L Banda Aprn Np-C LLC is 1972967883. It was assigned to this organization in the NPPES registry on April 6, 2016.

Where is Elizabeth L Banda Aprn Np-C LLC located?

Elizabeth L Banda Aprn Np-C LLC is located at 920 S Highway 45, Bonanza, AR 72916. The listed phone number is (479) 255-6150.

What is Elizabeth L Banda Aprn Np-C LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Elizabeth L Banda Aprn Np-C LLC was last updated on April 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.