IVY HANSEN, P.A.-C.

P.A.-C.

Medical Physician Assistant

NPI: 1164755104IndividualAccepts Medicare

Specialties, Licenses & Credentials

Medical Physician AssistantPrimary

Physician Assistant — Medical

Code: 363AM0700X

PA-814(ID)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2009

Contact & Hours

Address: 2065 E 17TH ST, SUITE D
IDAHO FALLS, ID 83404
Phone: (208) 522-0747

Quick Facts

NPI: 1164755104
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 17

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