Organization · Type 2 NPI
Banner Health and Wellness
Family Nurse Practitioner · Johnston, RI
NPI number
1114811718
Active
Practice location
1559 Hartford Ave
Johnston, RI 02919-3225
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1114811718
Banner Health and Wellness's National Provider Identifier is 1114811718, issued on Jun 6, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Johnston, RI. The record was last updated on Sep 15, 2025.