Individual
MS. KATLYN MARIE BANKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 273-3807
Mailing address
484 TARRINGTON RD, ROCHESTER, NY 14609-5716
(585) 727-7357
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309167
NY
Other
Enumeration date
05/29/2019
Last updated
06/30/2023
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