Individual
KATHERINE BANNISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 17TH ST, COLUMBUS, IN 47201-5351
(800) 841-4938
Mailing address
1000 E MAIN ST, DANVILLE, IN 46122-1948
(317) 745-4451
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28225221A
IN
Other
Enumeration date
03/26/2022
Last updated
06/27/2023
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