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Organization
EMILIA BANSE PMHNP-BC PLLC
Active
Organization
EMILIA BANSE PMHNP-BC PLLC
Active
Other names
Emilia Banse
Organization subpart
No
Provider details
NPI number
Authorized official
EMILIA M BANSE PMHNP-BC (NURSE PRACTITIONER/OWNER)
(202) 876-8787
Entity
Organization
Contact information
Practice address
120 GOLDEN EAGLE CT, SANTA ROSA BEACH, FL 32459-8344
(202) 876-8787
Mailing address
120 GOLDEN EAGLE CT, SANTA ROSA BEACH, FL 32459-8344
(202) 876-8787
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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