Individual
DR. MARIE CAROLLE ANNIE BANVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP-FNP-C
Contact information
Practice address
1220 26TH ST, BOULDER, CO 80302-6802
(970) 769-1324
Mailing address
1220 26TH ST, BOULDER, CO 80302-6802
(970) 769-1324
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0999952-NP
CO
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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