Individual
JIM HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3581 E 1ST AVE, POST FALLS, ID 83854-7475
(208) 449-9545
Mailing address
3581 E 1ST AVE, POST FALLS, ID 83854-7475
(208) 449-9545
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60919006
WA
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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