Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RN0300X | Nephrologist | 036-114083 | IL |
N | 2080P0210X | Pediatric Nephrologist | 036-114083 | IL |
Y | 2080P0210X | Pediatric Nephrologist | 47656 | CO |
NPI | 1679765309 |
---|---|
Provider Name | Dr. Mindy Ann Banks |
First Address | Denver, CO 80237-3486 |
Second Address | Denver, CO 80205-5503 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2007 |
Last Update Date | 11/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10025764100 | (05) | NE |
128371500 | (05) | WY |
1679765309 | (05) | SD |
1679765309 | (05) | WY |
200635390A | (05) | KS |
34734350 | (05) | CO |