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Breanna Banks

NPI 1518615038 · on the registry since 2022

Practice

Address
1090 Arnold Dr
Little Rock Afb, AR 72099
Phone
(501) 987-3080
Organisation at this address
19th Medgrp-Little Rock
Inferred from a shared address, not stated in the registry.
Clinicians at this address
103

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-05-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas