Terry Wayne Hancock, MSN, RN,BC FNP
Individual provider Active NPI Family Nurse Practitioner · Socorro, NM
NPI 1295734945 · NPPES record last updated Aug 9, 2013
Key facts
- NPI
- 1295734945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 42137 (NM)
- Practice address
- 200 Neel Ave
Socorro, NM 87801-4649 - Phone
- (575) 418-9563
- NPI assigned
- Jul 15, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42137 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Mexico Heart Institute, LLC | Past | Accepting new patients | |
| Clinimed Corporation | Family | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 42137 | NM | Yes |
Addresses
Primary practice location
200 Neel Ave
Socorro, NM 87801-4649
Mailing address
200 Neel Ave
Socorro, NM 87801-4649
Phone (575) 418-9563
Other providers in Socorro, NM
- Kristen Griego
- Valerie Griego
- Richard E Guajaca II
- Victoria E. Gutierrez
- Janet Sue Hancock
- George Hanna
- Matthew Harbuck
- Tracy Lee Harbuck
- Julia Hardin
- Galen Detrik Hartenberger
All providers in Socorro, NM · Family Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 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.