Individual
BRENDA A HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
659 WESTFIELD WAY, UNIT F, PEWAUKEE, WI 53072-6585
(262) 617-9919
Mailing address
659 WESTFIELD WAY, UNIT F, PEWAUKEE, WI 53072-6585
(262) 617-9919
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
96064-30
WI
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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