Individual
AUTUMN BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 UNIVERSITY AVE, WATERLOO, IA 50701-5640
(319) 235-1230
Mailing address
62 CHERRY LN, PERRYVILLE, MD 21903-2036
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
17599
CT
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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