Individual
KRISTAN LEA BANNISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, PMHNP
Contact information
Practice address
8929 VISCOUNT BLVD STE LLB, EL PASO, TX 79925-5827
(915) 202-4463
(915) 289-2104
Mailing address
8929 VISCOUNT BLVD STE LL-B, EL PASO, TX 79925-5827
(915) 344-7165
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1009201
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1009201
TX
Other
Enumeration date
06/03/2020
Last updated
03/17/2025
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