Banner, Dallas

Banner, Dallas is an individual health care provider with primary practice located at 3000 New Bern Ave , Raleigh NC 27610-1231. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Urology, Allopathic & Osteopathic Physicians / Urology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Banner, Dallas can be contacted via phone (919) 350-8114.

Contact Information

Primary practice address
3000 New Bern Ave Raleigh NC 27610-1231
Phone: (919) 350-8114
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Urology 163WU0100X 259156 North Carolina
Allopathic & Osteopathic Physicians / Urology 208800000X 5012314 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5012314 North Carolina

Profile Details

NPI number 1033763537
LBN Legal business name Banner, Dallas
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2019
Last updated Oct 7th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers