Individual provider · Type 1 NPI
Susannah Hancock, NP
Family Nurse Practitioner · Ammon, ID
NPI number
1164973053
Active
Practice location
1189 Red Robin Ave
Ammon, ID 83401-5747
Mailing address
784 South Clear Loop Ste R
Post Falls, ID 83854
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95006211 (CA) |
| Family Nurse Practitioner Primary | 363LF0000X | 54459 (ID) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Ammon
About NPI 1164973053
Susannah Hancock, NP's National Provider Identifier is 1164973053, issued on Oct 17, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ammon, ID. The record was last updated on Apr 16, 2025.