RACHELLE BANNING PMHNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Psych/Mental Health
Provider Information
- NPI Number
1083468391- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PMHNP
- Status
- Active
Contact & Location
- Address
- 2601 CENTRAL AVE LL22, DODGE CITY, KS, 678016200
- Phone
- (620) 255-9706
Specialties & Taxonomies
Nurse Practitioner, Psych/Mental Health
Primary License: KS #53-84150-091
Registered Nurse
License: KS #136521
All Addresses
MAILING
2601 CENTRAL AVE LL22
DODGE CITY, KS, 678016200