Individual
AMYE ELEANOR BANASZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP, FNP-C
Contact information
Practice address
200 OLD POND RD STE 107, BRIDGEVILLE, PA 15017-1269
(412) 319-7866
(412) 914-8635
Mailing address
200 OLD POND RD STE 107, BRIDGEVILLE, PA 15017-1269
(412) 319-7866
(412) 914-8635
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
SP014303
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP027648
PA
Other
Enumeration date
10/09/2014
Last updated
04/10/2025
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