Individual
BRIANNA BANACHOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-4772
Mailing address
344 WILDFLOWER DR, WILKES BARRE, PA 18702-7915
(412) 398-2426
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP032586
PA
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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