Healthcare Provider Details

I. General information

NPI: 1659013993
Provider Name (Legal Business Name): EMILYN CONSTANCE BANFIELD PHD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2022
Last Update Date: 04/07/2022
Certification Date: 04/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NATIONAL HUMAN GENOME RESEARCH INSTITUTE
BETHESDA MD
20892-0001
US

IV. Provider business mailing address

6301 ALMEDA RD APT 821
HOUSTON TX
77021-1088
US

V. Phone/Fax

Practice location:
  • Phone: 301-402-0911
  • Fax:
Mailing address:
  • Phone: 407-739-6172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: