Individual provider · Type 1 NPI

Mary S. Bannon, NP

Gerontology Nurse Practitioner · Waltham, MA

NPI number 1043392590 Active

About NPI 1043392590

Mary S. Bannon, NP's National Provider Identifier is 1043392590, issued on Oct 20, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Waltham, MA. The record was last updated on Jul 28, 2017.