Individual
MS. KATHIE LILLIAN BANKSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
501 E PLAZA CIR DR, SUITE A, LITCHFIELD PARK, AZ 85340-4998
(623) 536-7956
(623) 536-9806
Mailing address
14166 W INDIANOLA AVE, GOODYEAR, AZ 85338-8455
(623) 536-5484
(623) 536-5484
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP667
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP1979
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
729618
—
AZ
Enumeration date
03/16/2006
Last updated
09/11/2025
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