Doctor Name: | CONNIE JUNE HANCOCK |
NPI Number: | 1306090899 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.N., R.N. |
License Number: | RN071585 |
Business Practice Address: | 500 Indiana Ave Winslow, AZ - 860472169 |
Business Phone Number: | 9282896213 |
Business Fax Number: | |
Mailing Address: | 500 Indiana Ave, WINSLOW |
State: | AZ |
Postal Code: | 860472169 |
Phone Number: | 9282896213 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2008 |
NPI Last Update Date: | 11/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1600X |
License Number: | RN071585 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Continuing Education/Staff Development |
Taxonomy Definition: |