Provider Demographics
NPI:1174120570
Name:HANCOCK, KRISTIN D (CRNP)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:D
Last Name:HANCOCK
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-339-2585
Mailing Address - Fax:717-677-4781
Practice Address - Street 1:2060 CARLISLE RD
Practice Address - Street 2:
Practice Address - City:ASPERS
Practice Address - State:PA
Practice Address - Zip Code:17304-9707
Practice Address - Country:US
Practice Address - Phone:717-339-2585
Practice Address - Fax:717-677-4781
Is Sole Proprietor?:No
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP022636363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health