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Individual

MARY VINSON BANKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
12200 WARWICK BLVD STE 110, NEWPORT NEWS, VA 23601-2344
(757) 534-5100
(757) 534-5395
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024074134
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1093842221
VA
Enumeration date
02/27/2007
Last updated
01/15/2018
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