Individual
LEAH SAMANTHA BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1033 US HIGHWAY 46 STE 102, CLIFTON, NJ 07013-2448
(973) 779-7979
Mailing address
85 CRESTVIEW DR, WILLINGBORO, NJ 08046-3537
(609) 969-0590
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ14850700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NJ14850700
LICENSE # APN; NJ BOARD OF NURSING
NJ
Enumeration date
06/19/2023
Last updated
06/19/2023
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