Individual
MICHELLE HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 NW 18TH ST STE 105, ANKENY, IA 50023-4282
(515) 348-8258
Mailing address
805 NE 12TH ST, GRIMES, IA 50111-4769
(641) 226-1570
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G171963
IA
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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