Individual
ANNE ELIZABETH BANTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
137 WILDWOOD DR, KINGFISHER, OK 73750-9558
(405) 249-9751
(405) 375-3634
Mailing address
137 WILDWOOD DR, KINGFISHER, OK 73750-9558
(405) 249-9751
(405) 375-3634
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
106-22816
OK
163WL0100X
Lactation Consultant (Registered Nurse)
R 0071326
OK
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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