KRYSTLE BANZUELA FNP-BC NPI 1548668601

NPI Information

NPI: 1548668601
Provider Name: KRYSTLE BANZUELA, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
6360 W 159TH ST
SUITE A & B
OAK FOREST, IL
ZIP 60452
Phone: (708) 687-4620
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Krystle Banzuela, FNP-BC is a family nurse practitioner in Oak Forest, IL. Krystle Banzuela, FNP-BC NPI is 1548668601. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6360 W 159TH ST
SUITE A & B
OAK FOREST, IL
ZIP 60452
Phone: (708) 687-4620

The enumeration date for this NPI number is 12/5/2014 and was last updated on 12/5/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	209011993	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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