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NPI Code Detail

MEDICARE: CINDY ANNE HANCOCK LPN

MEDICARE:   CINDY ANNE HANCOCK  LPN
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
1164W00000XLicensed Practical Nurse0250079296VT

General Provider Information

NPI Number : 1598152068
Entity Type Code : Individual
Provider Name (Legal Business Name) : CINDY ANNE HANCOCK LPN
Provider Business Mailing Address
First Line : 296 CREAMERY RD
Second Line :
City : SOUTH RYEGATE
State : VT
Zip : 05069-4406
Country : US
Telephone Number : 802-467-1101
Fax Number :
Provider Business Practice Location Address
First Line : 296 CREAMERY RD
Second Line :
City : SOUTH RYEGATE
State : VT
Zip : 05069-4406
Country : US
Telephone Number : 802-467-1101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2015
Last Update Date : 04/22/2015

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Directions to “ CINDY ANNE HANCOCK LPN” Practice Location

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