Individual
TREVOR JON HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, MSN, CRNA
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
(858) 552-8585
Mailing address
6251 LAKEWOOD ST, SAN DIEGO, CA 92122-3937
(619) 876-2680
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95096092
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95002413
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/09/2024
Last updated
07/14/2024
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