Search › Idaho › 363LF0000X
Susannah Hancock, NP
NPI 1164973053 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1189 Red Robin Ave
Ammon, ID 83401 - Phone
- (619) 602-4520
- Organisation at this address
- Fortify Optimal Health
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
- Licence states on file
- CA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-04-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho