Individual
HELEN M BANNER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6342 LITTLEROCK RD, TUMWATER, WA 98512
(360) 357-8822
(360) 357-8823
Mailing address
6342 LITTLEROCK RD, TUMWATER, WA 98512
(360) 357-8822
(360) 357-8823
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30004326
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3264BA
REGENCE
WA
05
—
9621400
—
WA
01
—
A008
TRICARE
WA
Enumeration date
04/06/2006
Last updated
07/08/2007
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