MS. STEPHANIE THERESA HANSON


Address: 11460 N Philbin Rd, Pocatello, ID 83202-5306
Phone: 2082417345

MS. STEPHANIE THERESA HANSON (NPI# 1467602920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467602920
Entity Type Individual
Full Name MS. STEPHANIE THERESA HANSON
Credential MS, PA-C
Practice Address 11460 N Philbin Rd
Pocatello
ID 83202-5306
Practice Telephone 2082417345
Mailing Telephone 2082417345
Enumeration Date 2008-09-22
Last Update Date 2010-12-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA762 ID Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 11460 N PHILBIN RD
City POCATELLO
State ID
Zip Code 83202-5306

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1376992503 Andrea Walsh Nurse Practitioner 1133 Call Creek Dr, Ste A, Pocatello, ID 83202 2016-06-08
1215381181 Specialized Physical Therapy Pllc Clinic/Center 4141 Poleline Rd Ste A, Pocatello, ID 83202 2016-04-18
1457713588 Jennifer Ann Gould Radiologic Technologist 907 Ryan Street, Chubbuck, ID 83202 2016-03-28
1154714897 Phoenix Management LLC Day Training, Developmentally Disabled Services 10991 Deerridge Dr., Chubbuck, ID 83202 2015-03-05
1750781449 Jennifer Lynn Seaich Counselor 4460 Center Way, Center Counseling, Pocatello, ID 83202 2014-08-29
1336562412 Kurt Layton Counselor 337 Joel, Chubbuck, ID 83202 2014-01-27
1245653468 Hannah's Place LLC Occupational Therapist 240 W Burnside Ave Ste D, Chubbuck, ID 83202 2014-01-23
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720379597 Lance W Mckay Physician Assistant 1151 Hospital Way, Bld D, Pocatello, ID 83201-5091 2011-04-27
1780867457 Southeast Idaho Gastroenterology, Pllc Physician Assistant 1151 Hospital Way Ste A, Pocatello, ID 83201-5091 2007-12-17
1174711758 Rsm Pa Pllc Physician Assistant 1595 Bannock Hwy, Pocatello, ID 83204 2007-10-09
1760597462 Karen Dickerson Physician Assistant 1352 E Center St, Pocatello, ID 83201-4734 2006-08-20
1265441547 Nicole Manning Physician Assistant 475 Yellowstone Ave, Ste E, Pocatello, ID 83201-4528 2006-08-05
1124040506 Michael John Doyle Physician Assistant 921 S 8th Ave Stop 8311, Pocatello, ID 83209-0002 2006-07-24
1417909862 Cynthia Ann Bunde Physician Assistant 429 Washington Ave, Pocatello, ID 83201-4520 2006-05-16
1750342952 Kebai Dawn Bills Physician Assistant 1777 E. Clark Suite # 210, Pocatello, ID 83201 2006-03-29
1073513065 Helena M. B. Rizor Physician Assistant 1448 E Center St, Pocatello, ID 83201-4105 2005-07-30
1376946012 Angela G Hatch Physician Assistant 777 Hospital Way, Pocatello, ID 83201-5175 2014-10-08
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Competitor

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City POCATELLO
Zip Code 83202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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