Individual
MS. ARIANA BANKHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2976 TRIVERTON PIKE DR, FITCHBURG, WI 53711-5840
(414) 552-7872
Mailing address
2976 TRIVERTON PIKE DR, FITCHBURG, WI 53711-5840
(414) 552-7872
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
247490-30
WI
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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