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Kelly C Banonis, NP
Family Nurse Practitioner in Mesa, Arizona
NPI 1790395531

Kelly C Banonis is a Family Nurse Practitioner based in Mesa, AZ and is specialized in Family. Kelly C Banonis practices in Mesa, AZ and has the professional credentials of NP. The NPI Number for Kelly C Banonis is 1790395531 and holds a License No. 245540 (Arizona).

The current practice location address for Kelly C Banonis is 3322 N Brighton, Mesa, AZ and can be reached out via phone at 815-291-4460.

Location: 3322 N Brighton, Mesa, AZ, 85207-0997
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Provider Profile Details
NPI Number
1790395531
Provider Name
Kelly C Banonis
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3322 N Brighton, Mesa, AZ, 85207-0997
Phone Number
815-291-4460
Fax Number
Provider Enumeration Date
08/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3322 N Brighton
City
State
Zip
85207-0997
Phone Number
815-291-4460
Fax Number
person
Provider Business Mailing Address Details
Address
3322 N Brighton
City
State
Zip
85207-0997
Phone Number
815-291-4460
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
245540 (Arizona)
Definition
Definition to come...
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