NPI 1003676289

Michael Brian Banik, APRN

Practitioner Critical Care Medicine Nurse Practitioner Hartford, CT

Practice location

Address: 80 Seymour St, Hartford, CT 06106-3315
Phone: (860) 545-5000
Mailing address: 80 Seymour St, Hartford, CT 06106-3300

Registered specialties

Critical Care Medicine Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LC0200X Licence 13088 (CT)

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Registry record

NPI: 1003676289
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Mar 2024
Record last updated: 9 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.