Search › Idaho › 363AM0700X
Ivy Hansen, P.A.-C
NPI 1164755104 · on the registry since 2009
Practice
- Address
- 2065 E 17th St
Suite D
Idaho Falls, ID 83404 - Phone
- (208) 522-0747
- Fax
- (208) 522-9641
- Organisation at this address
- Gene K Hodges Md
Gene K. Hodges M.D.
Boyd L Hammond Md Pa
Daniel K Hinckley Md Pa
Julian Debruynkops Md PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-09-09
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