Individual
DIANE E HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
(812) 405-6746
(812) 450-4665
Mailing address
PO BOX 3868, EVANSVILLE, IN 47737-3868
(812) 450-6815
(812) 450-4665
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28097323A
IN
363L00000X
Nurse Practitioner
Primary
71006635A
IN
Other
Enumeration date
08/11/2016
Last updated
10/21/2016
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