Individual
CAROLINE BANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 CIVIC CENTER BLVD FL 4, PHILADELPHIA, PA 19104-4395
(215) 590-1527
Mailing address
1725 WEBSTER ST, PHILADELPHIA, PA 19146-1920
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP035686
PA
Other
Enumeration date
07/02/2026
Last updated
07/02/2026
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