Individual
PAMELA M. BANERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-9177
Mailing address
101 CASHEL MARA DR, PANAMA CITY, FL 32409-1530
(706) 331-6795
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
175143
WI
163W00000X
Registered Nurse
244565-0
MN
163W00000X
Registered Nurse
4704329314
MI
363L00000X
Nurse Practitioner
4337
WI
363LF0000X
Family Nurse Practitioner
4337
WI
363LF0000X
Family Nurse Practitioner
4704329314
MI
363LF0000X
Family Nurse Practitioner
Primary
9490764
FL
363LF0000X
Family Nurse Practitioner
CNP5118
MN
Other
Enumeration date
09/11/2007
Last updated
12/06/2021
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