Individual provider · Type 1 NPI

Marita Chan Banisa

Medical-Surgical Registered Nurse · Greensboro, NC

NPI number 1447012349 Active

Practice location

2401 S Side Blvd
Greensboro, NC 27406-3311

Specialties and licenses

TaxonomyCodeLicense
Medical-Surgical Registered Nurse Primary 163WM0705X134372 (NC)

Medical-Surgical Registered Nurse: Definition to come...

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About NPI 1447012349

Marita Chan Banisa's National Provider Identifier is 1447012349, issued on Jan 25, 2024. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Greensboro, NC. The record was last updated on Jan 25, 2024.