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Individual
HENRIETTA BANNERMAN
Active
Individual
HENRIETTA BANNERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR20490500
NJ
163W00000X
Registered Nurse
678130
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ14928000
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
405453
NY
Other
Enumeration date
12/27/2013
Last updated
07/10/2025
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