Individual
KRISTINA MARIE BANASZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5000
Mailing address
41224 DAMASK DR, CLINTON TOWNSHIP, MI 48038-7500
(586) 306-0056
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704233013
MI
363LF0000X
Family Nurse Practitioner
4704233013
MI
Other
Enumeration date
12/08/2016
Last updated
09/03/2024
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