Individual provider · Type 1 NPI

Allison Anne Bannick, NP

Pediatric Nurse Practitioner · Grand Rapids, MI

NPI number 1821103441 Active

Practice location

35 Michigan St NE Ste 3003
Grand Rapids, MI 49503-2528

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X4704230314 (MI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1821103441

Allison Anne Bannick, NP's National Provider Identifier is 1821103441, issued on Aug 21, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 6, 2025.