Banigo, Diane Renee

Banigo, Diane Renee is an individual health care provider with primary practice located at 3033 Excelsior Blvd Ste 585 , Minneapolis MN 55416-6400. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Banigo, Diane Renee can be contacted via phone (612) 345-5920.

Contact Information

Primary practice address
3033 Excelsior Blvd Ste 585 Minneapolis MN 55416-6400
Phone: (612) 345-5920
Fax: (844) 562-6828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 152803-1 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X R152803-1 Minnesota

Profile Details

NPI number 1639139470
LBN Legal business name Banigo, Diane Renee
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639139470 NPPES
Minnesota Other 088H5BA BCBS
Minnesota Other HP58089 BCBS
Minnesota Other 07-04617 BCBS
Minnesota MEDICAID 238495700 BCBS
Minnesota Other 923911045942 BCBS
Minnesota Other 182098 BCBS

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