Emilia Banse Pmhnp-Bc Pllc
NPI #1164044004 in Santa Rosa Beach, Florida
Provider Information
- NPI Number
- 1164044004
- Entity Type
- Organization
- Organization Name
- Emilia Banse Pmhnp-Bc Pllc
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- May 14, 2020
- Last Updated
- May 14, 2020
Practice Location
- Address
- 120 GOLDEN EAGLE CT
- City
- Santa Rosa Beach
- State
- Florida
- ZIP Code
- 32459-8344
- Phone
- (202) 876-8787
Authorized Official
- Name
- EMILIA M BANSE, PMHNP-BC
- Title
- NURSE PRACTITIONER/OWNER
- Phone
- (202) 876-8787
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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