Individual
MR. TERRY WAYNE HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, RN,BC FNP
Contact information
Practice address
200 NEEL AVE, SOCORRO, NM 87801-4649
(575) 418-9563
Mailing address
200 NEEL AVE, SOCORRO, NM 87801-4649
(575) 418-9563
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
42137
NM
Other
Enumeration date
07/15/2005
Last updated
08/09/2013
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