Individual
ANITA RENEE BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10620 E 66TH ST, 161, TULSA, OK 74133-2608
(918) 698-0556
Mailing address
23 E ROSS AVE, SAPULPA, OK 74066-6423
(918) 216-4999
(918) 216-4998
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0063704
OK
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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