MEDICARE: SEETA RANI SPENCE BANFIELD CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	APRN11019604	FL
2	367500000X	Certified Registered Nurse Anesthetist	0024193801	VA
3	163W00000X	Registered Nurse	RN9394252	FL
4	163WC0200X	Critical Care Medicine Registered Nurse	RN9394252	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396499448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEETA RANI SPENCE BANFIELD CRNA

Provider Business Mailing Address
First Line	:	3128 16TH ST N
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33704-1925
Country	:	US
Telephone Number	:	727-458-2996
Fax Number	:

Provider Business Practice Location Address
First Line	:	3128 16TH ST N
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33704-1925
Country	:	US
Telephone Number	:	727-458-2996
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2022
Last Update Date	:	01/19/2026

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