Individual
SUSAN BANKSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3109 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-4361
(228) 818-1111
Mailing address
2023 S HILL DR, BILOXI, MS 39532-4341
(228) 594-1711
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
9175676
FL
367500000X
Certified Registered Nurse Anesthetist
AP04993
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
R854110
MS
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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