Individual
SCOTT BANNISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
85 S UNION BLVD APT 388, LAKEWOOD, CO 80228-2280
(603) 494-7738
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
APN.0997480-NP
CO
363L00000X
Nurse Practitioner
Primary
090872-23
NH
363LA2100X
Acute Care Nurse Practitioner
APN.0997480-NP
CO
Other
Enumeration date
06/13/2022
Last updated
02/12/2025
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