Provider Demographics
NPI:1043678113
Name:WANK, HAILEY (NP)
Entity type:Individual
Prefix:
First Name:HAILEY
Middle Name:
Last Name:WANK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:HAILEY
Other - Middle Name:
Other - Last Name:BEEBE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11150 THOMPSON AVE
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66219-2301
Mailing Address - Country:US
Mailing Address - Phone:913-750-8500
Mailing Address - Fax:913-850-7579
Practice Address - Street 1:11150 THOMPSON AVE
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66219-2301
Practice Address - Country:US
Practice Address - Phone:913-850-7500
Practice Address - Fax:913-850-7579
Is Sole Proprietor?:No
Enumeration Date:2016-02-04
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016001659363LA2100X
KS5377146111363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care