Individual
EMILY BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 ANGUS E PEYTON DR, SOUTH CHARLESTON, WV 25303-1600
(304) 784-0946
Mailing address
852 HUDSON ST, SAINT ALBANS, WV 25177-3852
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
103060
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
WV
Other
Enumeration date
06/07/2022
Last updated
07/20/2024
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