BRILYN MICHELLE BANISTER


Address: 8443 Cabin Creek Dr Apt G, Indianapolis, IN 46237-6330
Phone: 8125306586

BRILYN MICHELLE BANISTER (NPI# 1124634936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124634936
Entity Type Individual
Full Name BRILYN MICHELLE BANISTER
Credential PA-C
Practice Address 8443 Cabin Creek Dr Apt G
Indianapolis
IN 46237-6330
Practice Telephone 8125306586
Mailing Telephone 8125306586
Enumeration Date 2020-09-17
Last Update Date 2020-09-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 8443 CABIN CREEK DR APT G
City INDIANAPOLIS
State IN
Zip Code 46237-6330

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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City INDIANAPOLIS
Zip Code 46237

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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