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

Dr. Mardi Gras Nanyongo Etchi-Banyi

Individual provider Pharmacist · NPI 1154673150

Dr. Mardi Gras Nanyongo Etchi-Banyi is a Pharmacist in Berrien Springs, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2012
Specialties on file
2

Practice location Address checks out

612 Saint Joseph Ave
Berrien Springs, MI 49103-1603
Phone: (301) 377-6096
Fax: (269) 473-2566
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5302047702 (MI)
Home Health Aide Taxonomy 374U00000X

Record details

NPI number1154673150
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 15, 2012
Last updated in NPPESApril 17, 2019

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