Provider Demographics
NPI:1396957148
Name:HANKEL, CARL RICHARD (APRN)
Entity type:Individual
Prefix:MR
First Name:CARL
Middle Name:RICHARD
Last Name:HANKEL
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4237 OREGON PIKE
Mailing Address - Street 2:WORKNET OCCUPATIONAL MEDICINE
Mailing Address - City:EPHRATA
Mailing Address - State:PA
Mailing Address - Zip Code:17522
Mailing Address - Country:US
Mailing Address - Phone:717-859-5002
Mailing Address - Fax:717-859-5009
Practice Address - Street 1:4237 OREGON PIKE
Practice Address - Street 2:WORKNET OCCUPATIONAL MEDICINE
Practice Address - City:EPHRATA
Practice Address - State:PA
Practice Address - Zip Code:17522
Practice Address - Country:US
Practice Address - Phone:717-859-5002
Practice Address - Fax:717-859-5009
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP009072363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care