Individual
CHERYL ANN BANSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 381-2000
Mailing address
1021 HAMPTON GROVE RD, WAXHAW, NC 28173-0167
(610) 812-6473
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5021057
NC
Other
Enumeration date
10/22/2024
Last updated
11/08/2024
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