Individual provider · Type 1 NPI

Wanda Banhan, PA-C

Surgical Physician Assistant · Gainesville, FL

NPI number 1861776189 Active

Practice location

1601 SW Archer Rd
Gainesville, FL 32608-1135

Call (352) 376-1611 Map

Mailing address

2327 Wilson St
Hollywood, FL 33020-2652

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA 9105668 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1861776189

Wanda Banhan, PA-C's National Provider Identifier is 1861776189, issued on Oct 5, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Gainesville, FL. The record was last updated on Oct 5, 2011.