Individual
CHRISTINE DANIELLE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
11035 KARCHER RD, NAMPA, ID 83651-8200
(208) 302-6650
(208) 302-6655
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 302-9342
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2601
ID
Other
Enumeration date
06/25/2022
Last updated
11/14/2023
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