Provider Demographics
NPI:1750440871
Name:BANKS, CATHY EVETTE
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:EVETTE
Last Name:BANKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4992 OLDE COVENTRY RD W
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-2683
Mailing Address - Country:US
Mailing Address - Phone:614-861-8580
Mailing Address - Fax:
Practice Address - Street 1:4992 OLDE COVENTRY RD W
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-2683
Practice Address - Country:US
Practice Address - Phone:614-861-8580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide