Individual provider · Type 1 NPI
Mary M. Bankhead, CRNP
Pediatric Nurse Practitioner · Collegeville, PA
NPI number
1588089825
Active
Practice location
409 2nd Ave Ste 303
Collegeville, PA 19426-3662
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP013603 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1588089825
Mary M. Bankhead, CRNP's National Provider Identifier is 1588089825, issued on Feb 24, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Collegeville, PA. The record was last updated on Feb 24, 2014.