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Contact Information

SUSAN K BANKS, CNP
105 EAST PINON STREET
MOUNTAINAIR, NM87036
 Phone: 505-847-2271
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for SUSAN K BANKS · (Female)

NPI Number 1013978006
Status Active
Credentials CNP (Certified Nurse Practitioner)
Entity Individual
Enumeration date 03/29/2006
Last updated 10/28/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NM License # R22221
  • NM Medicaid 93567
  • NM Other NM006E47 BLUECROSS BLUESHIELD OF NEW MEXICO
  • NM Other 10002813 LOVELACE HEALTH PLAN
  • NM Other PROVP11807 MOLINA HEALTHCARE
  • NM Other 850206810 TRICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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