Individual
MRS. CHRISTINA CAMIELLE BANNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
102B MEDICAL DR, ELIZABETH CITY, NC 27909-3361
(252) 335-0803
Mailing address
102B MEDICAL DR, ELIZABETH CITY, NC 27909-3361
(252) 335-0803
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
BANN-S7DA1G
NC
Other
Enumeration date
11/21/2017
Last updated
05/05/2020
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