Individual provider · Type 1 NPI
La Kedia Charman Banks, CRNP
Family Nurse Practitioner · Palo Alto, CA
NPI number
1023377231
Active
Practice location
3801 Miranda Ave
Palo Alto, CA 94304-1207
Mailing address
104 Maple Ln
East Palo Alto, CA 94303-1347
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 1-115189 (AL) |
| Family Nurse Practitioner Primary | 363LF0000X | 23015 (CA) |
| Registered Nurse | 163W00000X | 840790 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1023377231
La Kedia Charman Banks, CRNP's National Provider Identifier is 1023377231, issued on May 8, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Palo Alto, CA. The record was last updated on Jan 4, 2017.