EMILIA BANSE PMHNP-BC PLLC

SANTA ROSA BEACH, FL
NPI1164044004
Doing Business AsEMILIA BANSE
Entity TypeOrganization
Authorized ContactEMILIA M BANSE
Nurse Practitioner/Owner
202-876-8787
Organization Subpart ?No
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2020-05-14
Last Update Date2020-05-14
Business Address
EMILIA BANSE PMHNP-BC PLLC
120 GOLDEN EAGLE CT
SANTA ROSA BEACH, FL 32459-8344
Phone number: 202-876-8787
Mailing Address
EMILIA BANSE PMHNP-BC PLLC
120 GOLDEN EAGLE CT
SANTA ROSA BEACH, FL 32459-8344
Phone number: 202-876-8787