Provider Demographics
NPI:1417355264
Name:HANKINS, SHARMAN RUTH (NP)
Entity Type:Individual
Prefix:MS
First Name:SHARMAN
Middle Name:RUTH
Last Name:HANKINS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2875 TRAVERSE CT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80916-4305
Mailing Address - Country:US
Mailing Address - Phone:719-231-9857
Mailing Address - Fax:
Practice Address - Street 1:2875 TRAVERSE CT
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80916-4305
Practice Address - Country:US
Practice Address - Phone:719-231-9857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-10
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY38-382506363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY382506OtherNURSE PRACTITIONER IN PEDIATRICS