Individual
TREVOR HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 N BEAUREGARD ST STE 110, ALEXANDRIA, VA 22311-1716
(703) 212-7546
Mailing address
1900 N BEAUREGARD ST STE 110, ALEXANDRIA, VA 22311-1716
(703) 212-7546
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
010127868
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/30/2016
Last updated
05/31/2023
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