Individual provider · Type 1 NPI
Ashley Sarah Bannerman-Martin, CRNP
Adult Health Nurse Practitioner · Philadelphia, PA
NPI number
1063233864
Active
Practice location
3400 Spruce St
Philadelphia, PA 19104
Mailing address
115 South St Unit 2
Philadelphia, PA 19147
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | SP030774 (PA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1063233864
Ashley Sarah Bannerman-Martin, CRNP's National Provider Identifier is 1063233864, issued on Oct 23, 2024. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 23, 2024.