Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BEVERLY HANSON, PA
ActiveBEVERLY HANSON, PA is a Surgical Physician Assistant healthcare provider located in BLACKFOOT, Idaho. NPI 1003874389 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · BLACKFOOT, ID
Registration Details
- NPI Number
- 1003874389
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 3, 2006 (20.275557258697 yrs)
- Last Updated
- Sep 9, 2008
- License
-
PAG-012 (ID)
Practice Information
- Address
-
98 POPLAR STBLACKFOOT, ID, 832211758Browse ID providers · Browse ZIP 83221
- Phone
- 2087823993
- Fax
- 2087823994
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in BLACKFOOT, ID
| Name | Credential | NPI |
|---|---|---|
| MR. RYAN TODD PORTER | PA-C | 1669556213 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.