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Individual

REGINA M HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
425 W BANNOCK ST, BOISE, ID 83702-6035
(208) 343-6458
(208) 343-5031
Mailing address
190 E BANNOCK ST FL 10, BOISE, ID 83712-6241

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-916A
ID

Other

Enumeration date
01/30/2010
Last updated
01/12/2022
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