Nicole S Hancock, LPN
Individual provider Active NPI Licensed Practical Nurse · East Rochester, NY
NPI 1154764959 · NPPES record last updated Apr 10, 2013
Key facts
- NPI
- 1154764959
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 311024 (NY)
- Practice address
- 327 W Elm St
East Rochester, NY 14445-2226 - Phone
- (585) 309-1410
- NPI assigned
- Apr 10, 2013
- 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 |
|---|---|---|---|
| 311024 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 311024 | NY | Yes |
Addresses
Primary practice location
327 W Elm St
East Rochester, NY 14445-2226
Mailing address
327 W Elm St
East Rochester, NY 14445-2226
Phone (585) 309-1410
Other providers in East Rochester, NY
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- Elizabeth A Grzeskowiak
- Ruth E Haidvogel
- Colleen Marie Hanley
- Stephanie Estelle Hawkins
- Heritage Christian Services Inc
- Margaret Hope Herting
- Ember Barnes Hilkert
All providers in East Rochester, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2013. 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.