Individual
DR. HEIDI SHELL BANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
3916 BEN FRANKLIN BLVD., DURHAM, NC 27704-2383
(919) 956-9300
(919) 595-8454
Mailing address
2321 BEAVER OAKS CT., RALEIGH, NC 27606-9288
(336) 409-2170
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
202153
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202153
NURSING LICENSE (NC BOARD OF NURSING)
NC
Enumeration date
07/24/2018
Last updated
08/19/2021
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