Search › Idaho › 363LF0000X
Mckenzie Hansen, FNP
NPI 1639952930 · on the registry since 2023
Practice
- Address
- 6565 W Emerald St
Boise, ID 83704 - Phone
- (208) 514-2510
- Fax
- (208) 375-2217
- Organisation at this address
- Bryan C Pogue Md
Full Circle Health, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 25
Additional practice sites
- 2011 4th St, La Grande, OR
- 111 Elm St, La Grande, OR
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 207Q00000X
363LF0000X - Licence states on file
- ID, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-09-02
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