Individual
TYRONE O'BANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
417 LIBERTY ST, SPRINGFIELD, MA 01104-3736
(413) 301-9355
Mailing address
PO BOX 6768, HOLYOKE, MA 01041-6768
(413) 218-4888
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN2345699
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN10003790
MA
Other
Enumeration date
10/20/2022
Last updated
05/02/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us