IVY HANSEN, P.A.-C.

Physician Assistant - Medical

Active Individual
NPI: 1164755104

Practice Address

2065 E 17TH ST
SUITE D
Idaho Falls, ID 83404

Phone: (208) 522-0747

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X Yes PA-814 (ID)

Frequently Asked Questions

NPI 1164755104 is the National Provider Identifier for IVY HANSEN, P.A.-C., a Physician Assistant - Medical provider located in Idaho Falls, ID. This NPI was enumerated on September 9, 2009.
IVY HANSEN, P.A.-C. practices at 2065 E 17TH ST, SUITE D, Idaho Falls, ID 83404.

Quick Facts

NPI
1164755104
Type
Individual
Enumerated
Sep 9, 2009
Last Updated
Sep 9, 2009

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