Provider Demographics
NPI:1467734517
Name:HANKINS, CHERYL RENEE (RN12/04/1964)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:RENEE
Last Name:HANKINS
Suffix:
Gender:F
Credentials:RN12/04/1964
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 FERGUSON AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH WEBSTER
Mailing Address - State:OH
Mailing Address - Zip Code:45682-8801
Mailing Address - Country:US
Mailing Address - Phone:740-285-0783
Mailing Address - Fax:
Practice Address - Street 1:18 FERGUSON AVE
Practice Address - Street 2:
Practice Address - City:SOUTH WEBSTER
Practice Address - State:OH
Practice Address - Zip Code:45682-8801
Practice Address - Country:US
Practice Address - Phone:740-285-0783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN358899163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse