Individual
BARBARA M BANASICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
500 LEWIS RUN RD, SUITE 202, PITTSBURGH, PA 15122-3056
(412) 469-6964
Mailing address
1524 HIGH RD, JEFFERSON HILLS, PA 15025-3524
(412) 384-7964
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
RN126839L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014379380002
—
PA
Enumeration date
05/04/2006
Last updated
08/02/2007
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