Search › Idaho › 363A00000X
Tea Hasanovic, PA-C
NPI 1073119780 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2101 N Whitley Dr
Fruitland, ID 83619 - Phone
- (208) 452-5999
- Clinicians at this address
- 3
Additional practice sites
- 11211 W Hercules Dr, Star, ID
- 1623 S Wells Ave, Meridian, ID
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-04-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho