NPI 1184075376
Joella Banker
Practice location
- Address
- 444 Center St, Manchester, CT 06040
- Phone
- (860) 646-3888
- Fax
- (860) 645-4132
- Mailing address
- 995 Day Hill Rd, Windsor, CT 06095-1722
Registered specialties (2)
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1184075376
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Jun 2016
- Record last updated
- 29 Aug 2018
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.