| Kristan Lea Bannister, FNP-BC, PMHNP | |
|
8929 Viscount Blvd Ste Llb, El Paso, TX 79925-5827 | |
| (915) 202-4463 | |
| (915) 289-2104 |
| Full Name | Kristan Lea Bannister |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 8929 Viscount Blvd Ste Llb, El Paso, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093339178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1009201 (Texas) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1009201 (Texas) | Primary |
| Entity Name | Senior Psychcare Of San Antonio I Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225324270 PECOS PAC ID: 8628241544 Enrollment ID: O20111109000140 |
| Entity Name | El Paso Family Medicine And Mental Health Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942049291 PECOS PAC ID: 7810429719 Enrollment ID: O20241016004392 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristan Lea Bannister, FNP-BC, PMHNP 8929 Viscount Blvd Ste Ll-b, El Paso, TX 79925-5827 Ph: (915) 344-7165 | Kristan Lea Bannister, FNP-BC, PMHNP 8929 Viscount Blvd Ste Llb, El Paso, TX 79925-5827 Ph: (915) 202-4463 |
Ms. Luelen D Cunyus, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8269 N Loop Dr, El Paso, TX 79907 Phone: 915-591-1615 Fax: 915-591-2875 | |
Mirabelle Nofeh, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11450 Gateway Blvd N Ste 1100, El Paso, TX 79934 Phone: 915-271-4635 | |
Joseph Jeffrey Miller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4801 Alberta Ave, El Paso, TX 79905 Phone: 915-215-5400 Fax: 915-215-8632 | |
Andres Baeza, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 Montana Ave, El Paso, TX 79902 Phone: 915-887-3410 | |
Bryan Botello, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4305 N Mesa St, El Paso, TX 79902 Phone: 915-532-2477 Fax: 915-242-6461 | |
Imelda V Wallace, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11860 Vista Del Sol Dr Ste 150, El Paso, TX 79936 Phone: 915-808-4000 | |
Kathryn Josephine Goss, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4845 Alameda Ave, El Paso, TX 79905 Phone: 915-298-5444 |