Provider Demographics
NPI:1043250020
Name:BANKES, PATRICIA F (CRNP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:F
Last Name:BANKES
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1072 JUSTISON ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801-5162
Mailing Address - Country:US
Mailing Address - Phone:302-661-7400
Mailing Address - Fax:302-661-7476
Practice Address - Street 1:1072 JUSTISON ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-5162
Practice Address - Country:US
Practice Address - Phone:302-661-7400
Practice Address - Fax:302-661-7476
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN234378L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAS88822Medicare UPIN
PA031239K9LMedicare ID - Type Unspecified