Terrance D. Banen CFNP

NPI 1295933505 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1295933505
Gender Male
Enumeration Date 07/08/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
UNIT 64900 BOX 19
APO AE, 09839, EG
Phone 0010122323684
Business Location
UNIT 64900 BOX 19
APO AE, 09839, EG
Taxonomy Code 363LF0000X
License State New Mexico
License Number R36509
Remove 1295933505 NPI Number

According to our database, Mr. Terrance D. Banen CFNP NPI is 1295933505, taxonomy code is 363LF0000X and license number is R36509, license state is located at New Mexico. Terrance D. Banen CFNP physically located at Unit 64900 Box 19, Apo AE, 09839. NPI Number Terrance D. Banen CFNP has the Individual type.

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1295933505 NPI number is provided on an as is basis without warranty of any kind. 1295933505 is maintained by the National Plan & Provider Enumeration System. The contents of Terrance D. Banen CFNP are for informational purposes only.