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NPI Profile for PHYLLIS A BANAHENE in MIDDLETOWN, DE.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hemodialysis |
163WH0500X |
| NPI Number | 1811697253 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 03/06/2023 | |
| Last updated | 03/06/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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PHYLLIS A BANAHENE
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PHYLLIS A BANAHENE, RN