Rebecca Lynn Hancock, RCSN
Individual provider Active NPI School Registered Nurse · Angels Camp, CA
NPI 1104412428 · NPPES record last updated Jan 4, 2021
Key facts
- NPI
- 1104412428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- 844020 (CA)
- Practice address
- 185 S. Main Street
Angels Camp, CA 95222 - Phone
- (209) 736-6077
- Fax
- (209) 736-6077
- NPI assigned
- Dec 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 844020 | CA | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 844020 | CA | Yes |
Addresses
Primary practice location
185 S. Main Street
Angels Camp, CA 95222
Mailing address
PO Box 760
Angels Camp, CA 95221-0760
Phone (209) 736-6077
Other practice location 1
364 Murphys Grade Rd
Angels Camp, CA 95221-9522
Phone (209) 736-8381
Other providers in Angels Camp, CA
- Lisa Marie Garcia
- Colleen Gavan
- Gold Country Occupational Therapy
- David Anthony Groat
- Gut Hormone Health LLC
- Christina Hauer
- Gabriella Rose Gomez Hawkins
- Robert Shelby Haymond
- Star Hildabrand
- Kyrstyn Hildreth
All providers in Angels Camp, CA · School Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.