Healthcare Provider Details

I. General information

NPI: 1972408862
Provider Name (Legal Business Name): ARIEL PAMELA BANKS BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24419 MILLSTREAM DR
ALDIE VA
20105-5837
US

IV. Provider business mailing address

252 ELIA CT SE
LEESBURG VA
20175-5400
US

V. Phone/Fax

Practice location:
  • Phone: 800-869-2136
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: