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Individual

BRIAN KENT HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2329
(702) 877-8661
(702) 667-4689
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 242-7199
(702) 667-4689

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R047140
SD
163WC0200X
Critical Care Medicine Registered Nurse
RN73141
NV
367500000X
Certified Registered Nurse Anesthetist
Primary
124913
NV

Other

Enumeration date
12/05/2018
Last updated
01/22/2020
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