EARLENE F BANVILLE

DERRY, NH
NPI1184677130
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NH  052873-23-11)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: MA  123030)
Enumeration Date2006-05-19
Last Update Date2008-12-03
Business Address
-- EARLENE F BANVILLE CRNA
ONE PARKLAND DRIVE
DERRY, NH 03038
Phone number: 603-421-2163
Mailing Address
-- EARLENE F BANVILLE CRNA
PO BOX 1849
LEWISTON, ME 04241-1849
Phone number: 207-784-2554
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