Individual provider · Type 1 NPI

Judy Banner, APRN

Pediatric Nurse Practitioner · Oklahoma City, OK

NPI number 1891043725 Active

Practice location

3330 NW 56th St, Suite 400
Oklahoma City, OK 73112-4479

Mailing address

1400 Redbud Holw
Edmond, OK 73034-9714

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XR62457 (OK)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1891043725

Judy Banner, APRN's National Provider Identifier is 1891043725, issued on Aug 27, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Oklahoma City, OK. The record was last updated on Aug 27, 2012.