Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ALEXANDRA BANNACH, M.D.
ActivePediatrics · NEWPORT, VT
Registration Details
- NPI Number
- 1518953942
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 21, 2005 (20.581613472566 yrs)
- Last Updated
- Jul 8, 2007
- License
-
042-0010849 (VT)
Practice Information
- Address
-
121 MEDICAL VILLAGE DRNEWPORT, VT, 058559834Browse VT providers · Browse ZIP 05855
- Phone
- 8023345929
- Fax
- 8024871051
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in NEWPORT, VT
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS ADDIS EMMET MOSELEY III | M.D. | 1003813346 |
| SARAH L MCAULIFF | M.D. | 1821482878 |
| MEGAN ELIZABETH PRUE | — | 1316697428 |
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.