Individual
BRYAN HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(386) 965-1394
Mailing address
1645 NW 34TH PL, GAINESVILLE, FL 32605-2543
(386) 965-1394
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
119174
HI
163WC0200X
Critical Care Medicine Registered Nurse
202206725RN
OR
163WC0200X
Critical Care Medicine Registered Nurse
937687
NY
163WC0200X
Critical Care Medicine Registered Nurse
Primary
95361849
CA
163WC0200X
Critical Care Medicine Registered Nurse
RN10006083
MA
163WC0200X
Critical Care Medicine Registered Nurse
RN500007382
DC
163WC0200X
Critical Care Medicine Registered Nurse
RN9469599
FL
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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