Individual
BRITTANY JOI BANICHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1707 WATSON BLVD, WARNER ROBINS, GA 31093-3606
(478) 929-8030
(478) 929-8095
Mailing address
152 ABERCORN ST, WARNER ROBINS, GA 31088-6782
(478) 796-5731
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN233561
GA
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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