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NPI Code Detail

MEDICARE: MR. ALAN RAY HANCOCK RN, APRN

MEDICARE: MR. ALAN RAY HANCOCK RN, APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN099208-AP05958LA

General Provider Information

NPI Number : 1487989257
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ALAN RAY HANCOCK RN, APRN
Provider Business Mailing Address
First Line : 3057 HIGHWAY 80 W
Second Line :
City : CALHOUN
State : LA
Zip : 71225-7907
Country : US
Telephone Number : 318-644-5838
Fax Number : 318-644-5836
Provider Business Practice Location Address
First Line : 3057 HIGHWAY 80 W
Second Line :
City : CALHOUN
State : LA
Zip : 71225-7907
Country : US
Telephone Number : 318-644-5838
Fax Number : 318-644-5836
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2009
Last Update Date : 09/01/2016

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