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Individual

ALLISON T BANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP-C

Contact information

Practice address
6428 W WILKINSON BLVD STE 210, BELMONT, NC 28012-2858
(704) 616-9691
Mailing address
6428 W WILKINSON BLVD STE 210, BELMONT, NC 28012-2858
(704) 616-9691

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
206677
NC
363LA2200X
Adult Health Nurse Practitioner
206677
NC
363LG0600X
Gerontology Nurse Practitioner
206677
NC

Other

Enumeration date
06/28/2012
Last updated
03/17/2018
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