Healthcare Provider Details

I. General information

NPI: 1497865539
Provider Name (Legal Business Name): MARGARET A BANNING MSN RN CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 05/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

179 PARKSIDE DR
COLORADO SPRINGS CO
80910-3130
US

IV. Provider business mailing address

220 RUSKIN DR
COLORADO SPRINGS CO
80910-2522
US

V. Phone/Fax

Practice location:
  • Phone: 719-572-6300
  • Fax: 719-572-6399
Mailing address:
  • Phone: 719-572-6100
  • Fax: 719-572-6199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.0097625
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberAPN.0003807-CNS
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: