Individual
REGINA MARIE HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
16901 LAKESIDE HILLS COURT, ATTN: HOSPITAL MEDICINE, OMAHA, NE 68130-2318
(402) 717-8434
(402) 717-7340
Mailing address
16901 LAKESIDE HILLS COURT, ATTN: HOSPITAL MEDICINE, OMAHA, NE 68130
(855) 524-4001
(402) 717-7340
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111622
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098684524
MEDICARE PTAN
NE
05
—
10025519100
—
NE
Enumeration date
01/29/2014
Last updated
11/24/2015
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