Healthcare Provider Details

I. General information

NPI: 1891625943
Provider Name (Legal Business Name): MONICA HANKS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7717 BRISTOL CIR
NAPLES FL
34120-0702
US

IV. Provider business mailing address

7717 BRISTOL CIR
NAPLES FL
34120-0702
US

V. Phone/Fax

Practice location:
  • Phone: 239-484-0430
  • Fax:
Mailing address:
  • Phone: 239-484-0430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN9473263
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: