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Contact Information

DAVID BANICKI, FNP-C
9555 76TH ST
PLEASANT PRAIRIE, WI53158-1984
 Phone: 262-577-8202
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Emergency

163WE0003X
Indicates primary specialty

NPI Profile & details for DAVID BANICKI · (Male)

NPI Number 1962217125
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 02/12/2025
Last updated 06/19/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • WI License # 230971-30
  • WI License # F05250443
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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