Individual
MRS. DARLA ANN BANNISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTIONER
Contact information
Practice address
2411 OSBORNE RD, CARLSBAD, NM 88220-3265
(505) 885-2188
(505) 885-6486
Mailing address
2411 OSBORNE RD, CARLSBAD, NM 88220-3265
(505) 885-2188
(505) 885-2188
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R33645
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H5181
—
NM
Enumeration date
05/05/2006
Last updated
06/21/2021
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