Individual provider · Type 1 NPI

Richard James Banczak, CNP

Family Nurse Practitioner · St. Paul, MN

NPI number 1104648021 Active

Practice location

1983 Sloan Pl Ste 1
St. Paul, MN 55117-2095

Mailing address

1571 Laurel Ave Uppr
St. Paul, MN 55104-7493

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X12066 (MN)

Family Nurse Practitioner: Definition to come...

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About NPI 1104648021

Richard James Banczak, CNP's National Provider Identifier is 1104648021, issued on Oct 30, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Paul, MN. The record was last updated on Oct 30, 2024.