-- CLINTON DALE BANNING -- FNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1629307533- Provider Type
- Individual Provider (NPI-1)
- Credentials
- FNP
- Status
- Active
Contact & Location
- Address
- 500 SW RAMSEY, GRANTS PASS, OR, 97527
- Phone
- (541) 472-7069
Specialties & Taxonomies
Registered Nurse
License: OR #2001141562RN
Nurse Practitioner, Family
Primary License: OR #201050003NP