Banks, Tanya Ernest

Banks, Tanya Ernest is an sole proprietor health care provider with primary practice located at 6440 W Newberry Rd Suite 402, Gainesville FL 32605-4381. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Banks, Tanya Ernest can be contacted via phone (352) 333-5500.

Contact Information

Primary practice address
6440 W Newberry Rd Suite 402 Gainesville FL 32605-4381
Fax: (352) 333-5506
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP3059782 Florida

Profile Details

NPI number 1306834403
LBN Legal business name Banks, Tanya Ernest
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2005
Last updated Oct 29th, 2014 - about 11 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 1306834403 NPPES
Florida MEDICAID 303565400

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