Provider Demographics
NPI:1497834659
Name:BANKS, BARBARA ELAINE (APRN BC)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:ELAINE
Last Name:BANKS
Suffix:
Gender:F
Credentials:APRN BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 PLEASANT ST
Mailing Address - Street 2:PO BOX 2032
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03302-2032
Mailing Address - Country:US
Mailing Address - Phone:603-225-0123
Mailing Address - Fax:
Practice Address - Street 1:40 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03302-2032
Practice Address - Country:US
Practice Address - Phone:603-225-0123
Practice Address - Fax:603-226-7565
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH058580-21163W00000X
NYF4003061363LP0808X
NH058580-23363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02561246Medicaid
453BK1Medicare ID - Type Unspecified
Q26978Medicare UPIN