Individual provider · Type 1 NPI

Nancy Cantey Banasiak, APRN, BC

Pediatric Nurse Practitioner · New Haven, CT

NPI number 1386770337 Active

Practice location

789 Howard Ave
New Haven, CT 06519-1304

Fax (203) 785-6455

Mailing address

66 Quail Run
Madison, CT 06443-1900

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X000926 (CT)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1386770337

Nancy Cantey Banasiak, APRN, BC's National Provider Identifier is 1386770337, issued on Feb 26, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New Haven, CT. The record was last updated on Jul 8, 2007.