Kelly C Banonis, NP Valid NPI

Individual provider · Family Nurse Practitioner · Victoria, TX

NPI

1790395531

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

1112632 (TX)

Sex

Female

Sole proprietor

No

Enumerated

2020-08-06

Last updated

2024-08-01