Individual
DEANNA R. HANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3949 EVANS AVE, STE 102, FORT MYERS, FL 33901-9335
(239) 939-2622
(239) 939-0151
Mailing address
20866 WHEELOCK DR, N FORT MYERS, FL 33917-7785
(239) 543-3969
(239) 543-3969
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1932232
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301689700
—
FL
01
—
G2017
BC/BS FL
FL
01
—
P0015297
RAILROAD MEDICARE
—
Enumeration date
02/15/2006
Last updated
05/30/2008
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