Individual
ROBERT BANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
92 LOCUST AVE, DANBURY, CT 06810-6011
(203) 797-7000
Mailing address
3998 FAIR RIDGE DR, STE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
E40651
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004270815
—
CT
Enumeration date
06/30/2006
Last updated
03/06/2015
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