Individual
DIANA MARIE BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, CDE
Contact information
Practice address
3101 BRECKENRIDGE LN, 4E, LOUISVILLE, KY 40220-2742
(502) 454-5252
(502) 454-5353
Mailing address
300 HILLCREST AVE, LOUISVILLE, KY 40206-1538
(502) 895-8697
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2051P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000337316
ANTHEM
KY
Enumeration date
02/22/2006
Last updated
12/12/2011
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