Individual
PROF. NANCY CANTEY BANASIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
789 HOWARD AVE, NEW HAVEN, CT 06519-1304
(203) 737-2417
(203) 785-6455
Mailing address
66 QUAIL RUN, MADISON, CT 06443-1900
(203) 737-2417
(203) 785-6455
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
000926
CT
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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