Individual
TREVOR H. HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2114 N LINCOLN AVE, SUITE A, YORK, NE 68467-1028
(402) 362-5555
(402) 362-7137
Mailing address
2114 N LINCOLN AVE, SUITE A, YORK, NE 68467-1028
(402) 362-5555
(402) 362-7137
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
603
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
265126
PTAN
NE
05
—
47077294513
—
NE
01
—
603
STATE LICENSE NUMBER
NE
Enumeration date
05/25/2006
Last updated
04/29/2024
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