Hausner, Nancy Lea

Hausner, Nancy Lea is an individual health care provider with primary practice located at 10112 W Overland Rd , Boise ID 83709-1428. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hausner, Nancy Lea can be contacted via phone (208) 780-3900.

Contact Information

Primary practice address
10112 W Overland Rd Boise ID 83709-1428
Fax: (208) 375-2882
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-36275 Idaho

Profile Details

NPI number 1124451067
LBN Legal business name Hausner, Nancy Lea
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2013
Last updated Dec 12th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124451067 NPPES
Idaho MEDICAID 1477920270

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