SAMANTHA ANN BANEY

ROCKFORD, IL
NPI1679128730
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.019754)
Enumeration Date2019-08-06
Last Update Date2019-08-06
Business Address
SAMANTHA ANN BANEY APRN
2313 N ROCKTON AVE
ROCKFORD, IL 61103-3618
Phone number: 815-964-2200
Mailing Address
SAMANTHA ANN BANEY APRN
15355 E DEES DR
MONROE CENTER, IL 61052-9747
Phone number: 815-543-0545
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