Individual
MACKENNA MARIE BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1824 GOOD HOPE RD, ENOLA, PA 17025-1233
(717) 732-8877
Mailing address
1824 GOOD HOPE RD, ENOLA, PA 17025-1233
(717) 732-8877
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
PURSUING
PA
363LF0000X
Family Nurse Practitioner
Primary
SP026093
PA
Other
Enumeration date
05/31/2022
Last updated
06/07/2023
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