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LIZAROSE Y. T. HANSEN CERTIFIED FAMILY HOM
NPI 1104527118
Specialist in Chubbuck, ID

Active since March 15, 2023
5201 MESQUITE DR APT 3, CHUBBUCK, ID 83202(208) 705-0591 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lizarose Y. T. Hansen Certified Family Hom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIZAROSE Y. T. HANSEN CERTIFIED FAMILY HOM (NPI 1104527118) is an individual specialist in Chubbuck, Idaho, licensed in Idaho (CFH-6547) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1104527118
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameLIZAROSE Y. T. HANSENCredential: CERTIFIED FAMILY HOM
Location Address5201 MESQUITE DR APT 3Chubbuck, ID 83202-5135
Mailing Address5201 Mesquite Dr Apt 3Chubbuck, ID 83202-5135 · (208) 705-0591
Phone(208) 705-0591
Sole ProprietorYes
Enumeration DateMarch 15, 2023
NPPES CertifiedMarch 15, 2023
✔ NPI 1104527118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in ID · CFH-6547
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5201 MESQUITE DR APT 3, Chubbuck, ID 83202
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lizarose Hansen's NPI number?

The NPI number for Lizarose Hansen is 1104527118. It was assigned to this individual provider in the NPPES registry on March 15, 2023.

Where is Lizarose Hansen located?

Lizarose Hansen practices at 5201 Mesquite Dr Apt 3, Chubbuck, ID 83202. The listed phone number is (208) 705-0591.

What is Lizarose Hansen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lizarose Hansen was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.