Individual provider · Type 1 NPI

Crystal Monique Banda

Primary Care Nurse Practitioner · San Antonio, TX

NPI number 1619501723 Active

Practice location

810 SE Military Dr
San Antonio, TX 78214-2823

Mailing address

1221 Broadway St Unit 306
San Antonio, TX 78215-1327

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X33644 (TX)

Primary Care Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1619501723

Crystal Monique Banda's National Provider Identifier is 1619501723, issued on Feb 27, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in San Antonio, TX. The record was last updated on Feb 27, 2020.