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

Heidi L Hanks

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376126367

Heidi L Hanks is a Student in an Organized Health Care Education/Training Program in Orlando, Florida. Works from 2 locations. Licensed in Florida and Utah.

Licensed in
FL, UT
In the registry since
2021
Specialties on file
2

Practice location Address checks out

92 W Miller St
Orlando, FL 32806-2032
Phone: (321) 842-4713
Fax: (321) 841-5245
Show map & directions

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

Additional practice locations (1)

  • 25 W Spring Dr, Woodland Hills, UT 84653-2054 — (801) 592-2069

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9116404 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (UT)

Record details

NPI number1376126367
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 28, 2021
Last updated in NPPESJanuary 5, 2024
Certification dateJanuary 5, 2024
Mailing address92 W Miller St, Orlando, FL 32806-2032

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