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Individual

MS. ANN MARIE BANELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
42 N MAIN ST, PITTSTON, PA 18640-1916
(570) 654-0880
(570) 655-9857
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP013117
PA
363LF0000X
Family Nurse Practitioner
SPO13117
PA

Other

Enumeration date
11/05/2013
Last updated
08/21/2020
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