Gloria Sellers Hancock, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Cody, WY

NPI 1962480236 · NPPES record last updated Dec 30, 2019

Key facts

NPI
1962480236
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
306461176 (WY)
Practice address
26 Willard Dr
Cody, WY 82414-7812
Phone
(307) 578-9095
Fax
(307) 578-9095
NPI assigned
Jan 5, 2006
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

LicenseStateTypeSpecialty
306461176WYMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 306461176 WY Yes

Addresses

Primary practice location

26 Willard Dr
Cody, WY 82414-7812

Mailing address

26 Willard Dr
Cody, WY 82414-7812
Phone (307) 578-9095

Other providers in Cody, WY

All providers in Cody, WY · Family Nurse Practitioner in Wyoming

Sources for this page

Verify at the official NPI Registry.