Individual
BRENDA LOU BANKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2635 LINCOLN WAY, SUITE A, CLINTON, IA 52732-7203
(563) 241-1328
(563) 242-9992
Mailing address
4331 180TH ST, CLINTON, IA 52732-8820
(563) 212-8907
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A068989
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
421116446
WOMEN'S HEALTH SERVICES TAX ID
IA
Enumeration date
12/06/2006
Last updated
07/05/2011
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