HEATHER BANKS

SOUTH BEND, IN
NPI1619475779
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71007791A)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: IN  71007791A)
163W00000X Registered Nurse
(Licence: IN  28164199A)
Enumeration Date2018-01-24
Last Update Date2022-12-30
Business Address
HEATHER BANKS
1001 N HICKORY RD STE 3
SOUTH BEND, IN 46615-3700
Phone number: 574-314-5987
Mailing Address
HEATHER BANKS
3702 NEW VISION DR BLDG B
FORT WAYNE, IN 46845-1703
Phone number:
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