Healthcare Provider Details

I. General information

NPI: 1730754821
Provider Name (Legal Business Name): ELIZABETH HANKE APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2021
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15257 AMBERLY DR STE 163
TAMPA FL
33647-2155
US

IV. Provider business mailing address

15257 AMBERLY DR STE 163
TAMPA FL
33647-2155
US

V. Phone/Fax

Practice location:
  • Phone: 941-222-1771
  • Fax: 941-907-8686
Mailing address:
  • Phone: 941-222-1771
  • Fax: 941-907-8686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11012832
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: