Individual
CAITLYN BANNISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, ARNP
Contact information
Practice address
11330 36TH DR SE, EVERETT, WA 98208-7711
(317) 650-8045
Mailing address
11330 36TH DR SE, EVERETT, WA 98208-7711
(317) 650-8045
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP61588584
WA
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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