Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TEA HASANOVIC, PA-C
Active Sole ProprietorTEA HASANOVIC, PA-C is a Physician Assistant healthcare provider located in FRUITLAND, Idaho. NPI 1073119780 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FRUITLAND, ID
Registration Details
- NPI Number
- 1073119780
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 8, 2020 (5.6791687155816 yrs)
- Last Updated
- Apr 17, 2023
- License
-
PA-1978 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2101 N WHITLEY DRFRUITLAND, ID, 836192132Browse ID providers · Browse ZIP 83619
- Phone
- 2084525999
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in FRUITLAND, ID
| Name | Credential | NPI |
|---|---|---|
| THAD W WILKEY | PA | 1174513188 |
| CLINTON W BAKER | PA-C | 1861483562 |
| MR. MATTHEW JOSEPH BERRIA | PA | 1982791810 |
| SAGE MICHELE BENINTENDI-STRINGER | PA | 1902985740 |
| GEORGE J ROTH | PA-C | 1073720124 |
| NICOLE K HOYT | PA-C | 1578733234 |
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.