person
Tate J Hansen, PA-C
Medical Physician Assistant in Meridian, Idaho
NPI 1982944617

Tate J Hansen is a Medical Physician Assistant based in Boise, ID and is specialized in Medical. Tate J Hansen practices in Meridian, ID and has the professional credentials of PA-C. The NPI Number for Tate J Hansen is 1982944617 and holds a License No. PA1047 (Idaho).

The current practice location address for Tate J Hansen is 520 S Eagle Rd, Meridian, ID and can be reached out via phone at 208-706-2200 and via fax at 208-706-2251.

Location: 520 S Eagle Rd, Meridian, ID, 83712-6241
person
Provider Profile Details
NPI Number
1982944617
Provider Name
Tate J Hansen
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
520 S Eagle Rd, Meridian, ID, 83712-6241
Phone Number
208-706-2200
Fax Number
208-706-2251
Provider Enumeration Date
02/16/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
520 S Eagle Rd
City
State
Zip
83642-6351
Phone Number
208-706-2200
Fax Number
208-706-2251
person
Provider Business Mailing Address Details
Address
520 S Eagle Rd
City
State
Zip
83642-6351
Phone Number
208-706-2200
Fax Number
208-706-2251
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA1047 (Idaho)
Definition
Definition to come...
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