Katelyn Bannon, CNP

NPI #1912653775 in Urbana, Illinois

Provider Information

NPI Number: 1912653775
Entity Type: Individual
Name: Katelyn Bannon, CNP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: CNP
Enumeration Date: Mar 1, 2022
Last Updated: Mar 1, 2022

Practice Location

Address: 611 W PARK ST
City: Urbana
State: Illinois
ZIP Code: 61801-2529
Phone: (217) 383-3440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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