Individual provider · Type 1 NPI

Autumn Banks

Psychiatric/Mental Health Nurse Practitioner · Waterloo, IA

NPI number 1174457709 Active

Practice location

4000 University Ave
Waterloo, IA 50701-5640

Mailing address

62 Cherry Ln
Perryville, MD 21903-2036

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X17599 (CT)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1174457709

Autumn Banks's National Provider Identifier is 1174457709, issued on Jun 9, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Waterloo, IA. The record was last updated on Jun 9, 2026.