Provider Demographics
NPI:1376870261
Name:BANNIS, AMIE FRANCISCA NOELISE (CNM)
Entity Type:Individual
Prefix:MRS
First Name:AMIE
Middle Name:FRANCISCA NOELISE
Last Name:BANNIS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:PO BOX 7513
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00823-7513
Mailing Address - Country:US
Mailing Address - Phone:340-778-9607
Mailing Address - Fax:340-778-9607
Practice Address - Street 1:4007 ESTATE DIAMOND RUBY
Practice Address - Street 2:
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-4435
Practice Address - Country:US
Practice Address - Phone:340-772-7349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-12
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VI5063367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife