Healthcare Provider Details

I. General information

NPI: 1851021604
Provider Name (Legal Business Name): HANNAH LINDSEY BANKS PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2022
Last Update Date: 07/06/2022
Certification Date: 07/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

672 W 400 S STE 201
SPRINGVILLE UT
84663-3170
US

IV. Provider business mailing address

672 W 400 S STE 201
SPRINGVILLE UT
84663-3170
US

V. Phone/Fax

Practice location:
  • Phone: 801-787-1317
  • Fax:
Mailing address:
  • Phone: 801-369-8989
  • Fax: 801-704-9741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number6505349-4405
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number6505349-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: