Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lizarose Y. T. Hansen, CERTIFIEDFAMILYHOM

Individual provider Specialist · NPI 1104527118

Lizarose Y. T. Hansen, CERTIFIEDFAMILYHOM is a Specialist in Chubbuck, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2023
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Practice location Address checks out

5201 Mesquite Dr Apt 3
Chubbuck, ID 83202-5135
Phone: (208) 705-0591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence CFH-6547 (ID)

Record details

NPI number1104527118
Entity typeIndividual (Type 1)
GenderFemale
Credentials CERTIFIEDFAMILYHOM
Sole proprietorYes
NPI enumeratedMarch 15, 2023
Last updated in NPPESMarch 15, 2023
Certification dateMarch 15, 2023

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