Erika Ann Banta
NPI #1982358081 in Louisville, Kentucky
Provider Information
- NPI Number
- 1982358081
- Entity Type
- Individual
- Name
- Erika Ann Banta
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Feb 8, 2022
- Last Updated
- Aug 11, 2023
Practice Location
- Address
- 606 MARLOWS FORD RD APT 202
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40245-4767
- Phone
- (502) 640-8404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Physician Assistant |
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