Individual
MRS. MARY CONNIE BANSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD-86
HI
237600000X
Audiologist-Hearing Aid Fitter
HA-97
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000252692
ALOHA CARE QUEST
HI
01
—
1889622
UNIVERSITY HEALTH ALLIANC
HI
05
—
56563201
—
HI
Enumeration date
05/23/2006
Last updated
08/29/2023
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