IndividualActive
Nicholas Hensley, MPAS, PA-C
NPI 1831647197 · Surgical Physician Assistant · Idaho Falls, ID
Provider details
- NPI number
- 1831647197
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MPAS, PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- PA-1410 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3155 Channing Way Ste B
Idaho Falls, ID 83404-7534
Phone: (208) 535-4800
Fax: (208) 535-4807
Approximate (ZIP-level) locationGet directions
Mailing address
3155 Channing Way Ste B
Idaho Falls, ID 83404-7534
Registry dates
- Enumerated
- 2016-09-15
- Last updated
- 2016-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.