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Individual

TASHA BANEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN/AGACNP-BC

Contact information

Practice address
1000 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
(573) 426-2108
Mailing address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 458-8899
(573) 341-5611

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2026013855
MO

Other

Enumeration date
03/28/2026
Last updated
04/10/2026
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