Individual
DUSTIN K TRAHAN
Active
Individual
DUSTIN K TRAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
081948
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
AP05693
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2130048
—
LA
01
—
767213
TEXAS LICENSE
TX
Enumeration date
02/27/2009
Last updated
11/17/2016
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