Provider Demographics
NPI:1720411200
Name:ORR, HEIDI HANKS (DNP)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:HANKS
Last Name:ORR
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:
Other - Last Name:HANKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP
Mailing Address - Street 1:30 N 1900 E
Mailing Address - Street 2:3C344
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84132-0006
Mailing Address - Country:US
Mailing Address - Phone:801-836-1980
Mailing Address - Fax:801-581-3433
Practice Address - Street 1:30 N 1900 E
Practice Address - Street 2:3C344
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84132-0006
Practice Address - Country:US
Practice Address - Phone:801-836-1980
Practice Address - Fax:801-581-3433
Is Sole Proprietor?:No
Enumeration Date:2013-08-19
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6196875-4405363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care