Individual
MRS. SANDRA BANFILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2700 N 3RD ST STE 3045, PHOENIX, AZ 85004-4627
(602) 374-7522
(602) 237-6997
Mailing address
PO BOX 17779, PHOENIX, AZ 85011-0779
(602) 374-7522
(602) 237-6997
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP5510
AZ
Other
Enumeration date
04/15/2014
Last updated
04/19/2016
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