HENRIETTA BANNERMAN

HACKENSACK, NJ
NPI1477974095
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ  26NJ14928000)
Additional Taxonomies163W00000X Registered Nurse
(Licence: NY  678130)
163W00000X Registered Nurse
(Licence: NJ  26NR20490500)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  405453)
Enumeration Date2013-12-27
Last Update Date2025-07-10
Business Address
HENRIETTA BANNERMAN
2 UNIVERSITY PLZ
HACKENSACK, NJ 07601-6202
Phone number: 212-203-1773
Mailing Address
HENRIETTA BANNERMAN
274 MADISON AVE RM 1501
NEW YORK, NY 10016-0701
Phone number: 212-203-1773