Individual
MRS. HANNAH JEAN HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
4950 N BRADLEY ST, GARDEN CITY, ID 83714-1478
(208) 954-2059
Mailing address
6424 W EVERETT ST, BOISE, ID 83704-7708
(802) 881-7352
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
51057
ID
363LF0000X
Family Nurse Practitioner
Primary
73477
ID
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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