Individual
VANESSA RAE BANKS-GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-0275
Mailing address
2111 BELCARA VW, LEAGUE CITY, TX 77573-3325
(713) 492-7759
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1038712
DC
Other
Enumeration date
06/03/2013
Last updated
10/01/2015
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