Jesse Hyrum Hansen, CRNA

NPI #1255885927 in Lewiston, Idaho

Provider Information

NPI Number
1255885927
Entity Type
Individual
Name
Jesse Hyrum Hansen, CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Aug 10, 2016
Last Updated
Sep 20, 2019

Practice Location

Address
415 6TH ST
State
Idaho
ZIP Code
83501-2434
Phone
(208) 750-7445

Specialties & Taxonomy Codes

Specialty
Registered Nurse
Nurse Anesthetist, Certified Registered

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