Individual
MRS. ERICA A BANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
3023 N BALLAS RD STE 600D, SAINT LOUIS, MO 63131-2332
(314) 996-4880
Mailing address
3023 N BALLAS RD STE 600D, SAINT LOUIS, MO 63131-2332
(314) 996-4880
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2002005691
MO
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
2002005691
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2002005691
MISSOURI STATE LISCENSE
MO
Enumeration date
10/07/2008
Last updated
10/06/2021
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