Ivy A. Hansen, P.A.-C. is a medical physician assistant in Idaho Falls, ID with 15 years of experience. Ivy A. Hansen, P.A.-C. NPI is 1164755104. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
2065 E 17TH ST
SUITE D
IDAHO FALLS, ID
ZIP 83404-042
Phone: (208) 522-0747
Fax: (208) 522-9641
The NPI 1164755104 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 9/9/2009 and was last updated on 9/9/2009.