Individual
TREVOR RYAN GOLDSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
(651) 464-4611
Mailing address
6648 RED BIRCH CT, LINO LAKES, MN 55014-1337
(715) 829-1360
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2523
MN
Other
Enumeration date
10/01/2020
Last updated
05/07/2025
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