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Search › Idaho › 222Q00000X

Scott Hansen

NPI 1871999888 · on the registry since 2014

Practice

Address
8252 N Wayne Dr
Hayden, ID 83835
Phone
(219) 263-3141
Organisation at this address
Renewed Horizons, Llc
Renewed Horizons, Llc
Renewed Horizons, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
222Q00000X
222Q00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-10-20

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