Provider Demographics
NPI:1407320237
Name:HANKS, WYNTER D
Entity Type:Individual
Prefix:MISS
First Name:WYNTER
Middle Name:D
Last Name:HANKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 S MEYERS DR APT 1610
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-7176
Mailing Address - Country:US
Mailing Address - Phone:337-652-5314
Mailing Address - Fax:
Practice Address - Street 1:202 REINHARDT DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-4251
Practice Address - Country:US
Practice Address - Phone:337-652-5314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-15
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program