Individual provider · Type 1 NPI

Dallas Banner, NP

Nurse Practitioner · Raleigh, NC

NPI number 1033763537 Active

Practice location

3000 New Bern Ave
Raleigh, NC 27610-1231

Mailing address

5115 Park Rd Apt 302
Charlotte, NC 28209-3820

Specialties and licenses

TaxonomyCodeLicense
Urology Registered Nurse 163WU0100X259156 (NC)
Urology Physician 208800000X5012314 (NC)
Nurse Practitioner Primary 363L00000X5012314 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1033763537

Dallas Banner, NP's National Provider Identifier is 1033763537, issued on Aug 1, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Raleigh, NC. The record was last updated on Oct 7, 2024.