NPI 1255885927

Jesse Hyrum Hansen, CRNA

Practitioner Certified Registered Nurse Anesthetist Lewiston, ID

Practice location

Address: 415 6th St, Lewiston, ID 83501-2434
Phone: (208) 750-7445
Mailing address: 10604 E Native Rose Trl, Tucson, AZ 85747-6020

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 62297 (ID)

Other Nurse Anesthetist, Certified Registered providers in Idaho →

Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence 95099542 (CA)

Other Registered Nurse providers in Idaho →

Registry record

NPI: 1255885927
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Aug 2016
Record last updated: 20 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.