Individual provider · Type 1 NPI

Amber Williams Banta, MSN, RN, CPNP-PC

Pediatric Nurse Practitioner · Richmond, VA

NPI number 1699174417 Active

Practice location

1000 E Broad St
Richmond, VA 23219-1930

Fax (804) 628-5852

Mailing address

PO Box 780125
Philadelphia, PA 19178-0125

Other practice locations

  • 4005 Oleander Dr, Wilmington, NC 28403-6816 · (910) 790-9949
  • 1250 E Marshall St, Richmond, VA 23298-5023 · (804) 828-2467
  • 2131 S 17th St, Wilmington, NC 28401-7407 · (910) 667-7360

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X5007095 (NC)
Pediatric Nurse Practitioner Primary 363LP0200X0024187003 (VA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1699174417

Amber Williams Banta, MSN, RN, CPNP-PC's National Provider Identifier is 1699174417, issued on Aug 18, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Richmond, VA. The record was last updated on Jun 20, 2024.