Individual
NICOLE BANASIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, AGACNP-BC
Contact information
Practice address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1292
(319) 398-6011
Mailing address
788 8TH AVE SE STE 200, CEDAR RAPIDS, IA 52401-2106
(847) 997-4274
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
H166907
IA
Other
Enumeration date
02/14/2022
Last updated
01/09/2023
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