Beverly Hanson, PA
Beverly Hanson, PA is a Surgical Physician Assistant in Blackfoot, Idaho. Licensed in Idaho. Registered with an NPI since 2006.
- Licensed in
- ID
- In the registry since
- 2006
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
98 Poplar StBlackfoot, ID 83221-1758
Phone: (208) 782-3993
Fax: (208) 782-3994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence PAG-012 (ID) |
|---|
Record details
| NPI number | 1003874389 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | May 3, 2006 |
| Last updated in NPPES | September 9, 2008 |
| Mailing address | 98 Poplar St, Blackfoot, ID 83221-1758 |
Other providers in Blackfoot
-
Ryan Blair Killpack, PA-C
98 Poplar St, Blackfoot, ID 83221-1758 · (208) 785-4100
-
Mr. Ryan Todd Porter, PA-C
98 Poplar St, Blackfoot, ID 83221-1758 · (208) 785-4100