Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alice Banda, REGISTEREDNURSE

Individual provider Nurse Practitioner · NPI 1710853247

Alice Banda, REGISTEREDNURSE is a Nurse Practitioner in Queen Creek, Arizona. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2025

Practice location Address checks out

22717 S Ellsworth Rd
Queen Creek, AZ 85142-6127
Phone: (480) 306-5650
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 333310 (AZ)

Record details

NPI number1710853247
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorYes
NPI enumeratedOctober 13, 2025
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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