Annette J. Banatte-Victor, NP
Individual provider Active NPI Family Nurse Practitioner · Marion, MD
NPI 1598815656 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1598815656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R109266 (MD)
- Practice address
- 5892 Crisfield Highway
5892 Crisfield Highway
Marion, MD 21838-0156 - Phone
- (410) 623-2528
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R109266 | MD | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R109266 | MD | Yes |
Addresses
Primary practice location
5892 Crisfield Highway
5892 Crisfield Highway
Marion, MD 21838-0156
Mailing address
5892 Crisfield Highway
PO Box 156
Marion, MD 21838-0156
Phone (410) 623-2528
Other providers in Marion, MD
All providers in Marion, MD · Family Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.