Individual provider · Type 1 NPI

Beverly Hanson, PA

Surgical Physician Assistant · Blackfoot, ID

NPI number 1003874389 Active

About NPI 1003874389

Beverly Hanson, PA's National Provider Identifier is 1003874389, issued on May 3, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Blackfoot, ID. The record was last updated on Sep 9, 2008.