Provider Demographics
NPI:1396295838
Name:HANKINS, HEATHER MAE CURLEY
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:MAE CURLEY
Last Name:HANKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:HEATHER
Other - Middle Name:MAE
Other - Last Name:CURLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10021 7 MILE RD
Mailing Address - Street 2:
Mailing Address - City:CALEDONIA
Mailing Address - State:WI
Mailing Address - Zip Code:53108-9677
Mailing Address - Country:US
Mailing Address - Phone:414-852-0826
Mailing Address - Fax:
Practice Address - Street 1:10021 7 MILE RD
Practice Address - Street 2:
Practice Address - City:CALEDONIA
Practice Address - State:WI
Practice Address - Zip Code:53108-9677
Practice Address - Country:US
Practice Address - Phone:414-852-0826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-07
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI320275 - 31164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse