Individual
MRS. ANNETTE J. BANATTE-VICTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5892 CRISFIELD HIGHWAY, 5892 CRISFIELD HIGHWAY, MARION, MD 21838-0156
(410) 623-2528
Mailing address
5892 CRISFIELD HIGHWAY, PO BOX 156, MARION, MD 21838-0156
(410) 623-2528
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R109266
MD
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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