Individual
SUZANNE BANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1000 DUTCH RIDGE RD, BEAVER, PA 15009
(330) 398-3626
Mailing address
4670 CREW HOOD RD, GIRARD, OH 44420-1319
(330) 398-3626
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN700821
PA
Other
Enumeration date
08/15/2017
Last updated
07/21/2022
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