Krystle Banzuela, FNP-BC
NPI #1548668601 in Oak Forest, Illinois
Provider Information
- NPI Number
- 1548668601
- Entity Type
- Individual
- Name
- Krystle Banzuela, FNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-BC
- Enumeration Date
- Dec 5, 2014
- Last Updated
- Dec 5, 2014
Practice Location
- Address
- 6360 W 159TH ST
- Address 2
- SUITE A & B
- City
- Oak Forest
- State
- Illinois
- ZIP Code
- 60452
- Phone
- (708) 687-4620
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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