Individual provider · Type 1 NPI
Marielva Banks, PA-C
Medical Physician Assistant · Highland, IN
NPI number
1013431733
Active
Practice location
10343 Indianapolis Blvd Ste 104
Highland, IN 46322
Other practice locations
- 2710 Forest Park Dr, Dyer, IN 46311-2100 · (847) 653-0154
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 085006321 (IL) |
| Medical Physician Assistant Primary | 363AM0700X | 10002646B (IN) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Highland
About NPI 1013431733
Marielva Banks, PA-C's National Provider Identifier is 1013431733, issued on Aug 3, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Highland, IN. The record was last updated on Nov 15, 2019.