Individual
TREVOR HAYDEN MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3535 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3908
(614) 566-4919
Mailing address
6397 AUTUMN CREST CT, WESTERVILLE, OH 43082-8963
(614) 551-6034
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0021259
OH
Other
Enumeration date
05/14/2025
Last updated
05/23/2025
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