| Tiki Hansen, PMH-NP | |
|
623 S Main St Ste 1, Moscow, ID 83843-3042 | |
| (208) 882-2011 | |
| (208) 883-1853 |
| Full Name | Tiki Hansen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 623 S Main St Ste 1, Moscow, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932659422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2661579 (Idaho) | Primary |
| Entity Name | Bridgton Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154370153 PECOS PAC ID: 8123919099 Enrollment ID: O20040322000534 |
| Entity Name | Acadia Hospital Corp. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215940523 PECOS PAC ID: 7719878495 Enrollment ID: O20040323000136 |
| Entity Name | Central Maine Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689653487 PECOS PAC ID: 2567379563 Enrollment ID: O20040324000441 |
| Entity Name | Rumford Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205991122 PECOS PAC ID: 3870583511 Enrollment ID: O20040514000890 |
| Entity Name | Aroostook Mental Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487601399 PECOS PAC ID: 8426033952 Enrollment ID: O20040702000491 |
| Entity Name | Eastern Maine Healthcare Systems Inland Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376579557 PECOS PAC ID: 6305817503 Enrollment ID: O20040802001656 |
| Entity Name | Health Access Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467468215 PECOS PAC ID: 2769393180 Enrollment ID: O20040803001713 |
| Entity Name | Regional Medical Center At Lubec Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740283977 PECOS PAC ID: 8224949888 Enrollment ID: O20040812001504 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiki Hansen, PMH-NP Po Box 8007, Moscow, ID 83843-0507 Ph: () - | Tiki Hansen, PMH-NP 623 S Main St Ste 1, Moscow, ID 83843-3042 Ph: (208) 882-2011 |
Jordan Harlow, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 213 N Main St, Moscow, ID 83843 Phone: 208-882-7565 | |
Sara B Presol, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 213 N Main St, Moscow, ID 83843 Phone: 208-882-7565 Fax: 208-882-7567 | |
Mrs. Deborah Wynne Medel, N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 213 N Main St, Moscow, ID 83843 Phone: 208-882-7565 | |
Stephanie Nicole Voss, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 803 S Main St Ste 110, Moscow, ID 83843 Phone: 208-813-7519 | |
Fawna Sunshine Huffman, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 803 S Main St Ste 320, Moscow, ID 83843 Phone: 208-883-1846 Fax: 208-892-1116 | |
Sheila Lynn Price, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 875 Perimeter Dr # Ms 4201, Moscow, ID 83844 Phone: 208-885-6693 | |
Clint Emmett, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 875 Perimeter Dr # Ms 3140, Moscow, ID 83844 Phone: 208-885-6716 Fax: 208-885-4354 |