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Individual

MS. SUSAN KAY HANCOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
4450 N TENAYA WAY STE 200, LAS VEGAS, NV 89129-7136
(702) 525-6046
(702) 745-0904
Mailing address
3030 VILLANELLE AVE, HENDERSON, NV 89044-0555
(702) 525-6046
(702) 745-0904

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN002413
NV
363LF0000X
Family Nurse Practitioner
Primary
APRN002413
NV

Other

Enumeration date
12/09/2016
Last updated
12/15/2023
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