Provider Demographics
NPI:1326308396
Name:BANFORD, ARLEEN BLANCHE (RN)
Entity type:Individual
Prefix:
First Name:ARLEEN
Middle Name:BLANCHE
Last Name:BANFORD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 HEART SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:BLYTHEWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29016-5700
Mailing Address - Country:US
Mailing Address - Phone:603-479-3754
Mailing Address - Fax:
Practice Address - Street 1:4900 BAYOU BLVD STE 103
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-2543
Practice Address - Country:US
Practice Address - Phone:850-466-4828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-23
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN220535163WP0808X
SCRN270970163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health