Individual
TANYA ERNEST BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6440 W NEWBERRY RD, SUITE 402, GAINESVILLE, FL 32605-4381
(352) 333-5500
(352) 333-5506
Mailing address
6440 W NEWBERRY RD, SUITE 402, GAINESVILLE, FL 32605-4381
(352) 333-5500
(352) 333-5506
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP3059782
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303565400
—
FL
Enumeration date
10/12/2005
Last updated
10/29/2014
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