Provider Demographics
NPI:1811581234
Name:HANHART, WENDY (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:
Last Name:HANHART
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 39
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:LA
Mailing Address - Zip Code:70441-0039
Mailing Address - Country:US
Mailing Address - Phone:985-515-7280
Mailing Address - Fax:
Practice Address - Street 1:1940A WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:FRANKLINTON
Practice Address - State:LA
Practice Address - Zip Code:70438-2135
Practice Address - Country:US
Practice Address - Phone:985-839-2200
Practice Address - Fax:985-839-2288
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-25
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA215143363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily