SearchIdaho363A00000X

Devin Hansen, PA-C

NPI 1699361568 · on the registry since 2020

Practice

Address
6165 W Emerald St
Boise, ID 83704
Phone
(208) 302-3900
Fax
(208) 302-3955
Organisation at this address
Saint Alphonsus Regional Medical Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Additional practice sites

  • 1907 S Broadway Ave Ste 101, Boise, ID

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-04-08

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