Provider Demographics
NPI:1568031078
Name:HANKINS, AMANDA DAWN (FNP-C)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:DAWN
Last Name:HANKINS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:DAWN
Other - Last Name:LINNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:1053 W STONE FLY DR
Mailing Address - Street 2:
Mailing Address - City:BLUFFDALE
Mailing Address - State:UT
Mailing Address - Zip Code:84065-5606
Mailing Address - Country:US
Mailing Address - Phone:801-875-9212
Mailing Address - Fax:
Practice Address - Street 1:2332 W 12600 S STE B
Practice Address - Street 2:
Practice Address - City:RIVERTON
Practice Address - State:UT
Practice Address - Zip Code:84065-7172
Practice Address - Country:US
Practice Address - Phone:801-875-9212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-18
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6121425-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily