Individual provider · Type 1 NPI

Erin Bannerman, APN

Family Nurse Practitioner · Moline, IL

NPI number 1629422001 Active

Practice location

1100 36th Avenue
Moline, IL 61265

Fax (309) 764-2042

Mailing address

1236 E Rusholme St Ste 300
Davenport, IA 52803-2473

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209014242 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1629422001

Erin Bannerman, APN's National Provider Identifier is 1629422001, issued on Apr 21, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Moline, IL. The record was last updated on Feb 11, 2021.