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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. TYSON HANSON

Active Sole Proprietor

MR. TYSON HANSON is a Respite Care (Camp) healthcare provider located in SHELEY, Idaho. NPI 1457976045 is currently active in the NPPES registry. Verify at CMS.

Respite Care (Camp) · SHELEY, ID

Registration Details

NPI Number
1457976045
Provider Type
Individual
Gender
Male
NPI Issued
Jun 10, 2020 (5.9919023667831 yrs)
Last Updated
Jun 10, 2020
Sole Proprietor
Yes

Practice Information

Address
1496 N 1070 E
SHELEY, ID, 83274
Browse ID providers · Browse ZIP 83274
Phone
2085211837
Primary Specialty
Respite Care (Camp)
385HR2060X
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.