NPI 1083496897

Tawny Nicole Banville

Practitioner Acupuncturist Frederick, MD

Practice location

Address: 603 W Patrick St STE B, Frederick, MD 21701-4090
Phone: (301) 620-1414
Mailing address: 119 Virginia Ave, Berryville, VA 22611-1309

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence U03049 (MD)

Other Acupuncturist providers in Maryland →

Registry record

NPI: 1083496897
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Oct 2023
Record last updated: 17 Oct 2023

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.