SUSAN BANKSTON

OCEAN SPRINGS, MS
NPI1982663209
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MS  R854110)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  9175676)
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  AP04993)
Enumeration Date2006-03-23
Last Update Date2007-07-08
Business Address
SUSAN BANKSTON CRNA
3109 BIENVILLE BLVD
OCEAN SPRINGS, MS 39564-4361
Phone number: 228-818-1111
Mailing Address
SUSAN BANKSTON CRNA
2023 S HILL DR
BILOXI, MS 39532-4341
Phone number: 228-594-1711