Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAELA B BANAGAN, NP
Active Sole ProprietorCommunity Health Center · SAN JOSE, CA
Registration Details
- NPI Number
- 1194963280
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 27, 2009 (17.259353952475 yrs)
- Last Updated
- Dec 14, 2012
- License
-
18329 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5671 SANTA TERESA BLVDSAN JOSESAN JOSE, CA, 951236512Browse CA providers · Browse ZIP 95123
- Phone
- 4082842281
- Fax
- 4082812857
- Primary Specialty
-
Community Health Center
261QC1500X
Other Community Health Center Providers in SAN JOSE, CA
| Name | Credential | NPI |
|---|---|---|
| BILLIE BOLDEN | PNP | 1184879165 |
| KARA M POTTER | NP | 1518105626 |
| JENNIFER STEVENSON | NP | 1972823417 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.