Individual
JOHN HANCOCK
Active
Individual
JOHN HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R209265
MD
367500000X
Certified Registered Nurse Anesthetist
L6-0A11038
DE
367500000X
Certified Registered Nurse Anesthetist
Primary
R209265
MD
367H00000X
Anesthesiologist Assistant
L6-0A11038
DE
Other
Enumeration date
02/06/2014
Last updated
05/19/2025
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