# HENRIETTA BANNERMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1477974095
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 26NR20490500 | NJ | — |
| 163W00000X | Registered Nurse | 678130 | NY | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 26NJ14928000 | NJ | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 405453 | NY | — |

## Other

- **Enumeration date:** 12/27/2013
- **Last updated:** 07/10/2025