Individual
CAROLYN BANION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1775 AURORA CT, AURORA, CO 80045-2536
(303) 724-2323
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
65575
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07655756
—
CO
Enumeration date
07/29/2006
Last updated
04/13/2012
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