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

Dr. Marie Carolle Annie Banville, DNP-FNP-C

Individual provider Family Nurse Practitioner · NPI 1669206199

Dr. Marie Carolle Annie Banville, DNP-FNP-C is a Nurse Practitioner in Boulder, Colorado. Qualified in 2014, 12 years ago. Practices as a sole proprietor. Licensed in Colorado.

Years since qualifying
12
Licensed in
CO
In the registry since
2024
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Practice location Address checks out

1220 26th St
Boulder, CO 80302-6802
Phone: (970) 769-1324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0999952-NP (CO)

Record details

NPI number1669206199
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP-FNP-C
Sole proprietorYes
NPI enumeratedAugust 28, 2024
Last updated in NPPESAugust 28, 2024
Certification dateAugust 27, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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