Provider Demographics
NPI:1689490591
Name:BIANCHI, HALI (APRN)
Entity type:Individual
Prefix:
First Name:HALI
Middle Name:
Last Name:BIANCHI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 LAKE AVE APT 2208
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-3049
Mailing Address - Country:US
Mailing Address - Phone:407-432-7200
Mailing Address - Fax:
Practice Address - Street 1:101 LAKE AVE APT 2208
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-3049
Practice Address - Country:US
Practice Address - Phone:407-432-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11036340363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner