SearchIdaho367500000X

Jesse Hansen, CRNA

NPI 1255885927 · on the registry since 2016

Practice

Address
415 6th St
Lewiston, ID 83501
Phone
(208) 750-7445
Organisation at this address
Michael Kos Md, Ps
St Joseph Snf Unit
St Joseph Hospital Llc
Valley Anesthesia, P.A.
Phoenix Radiology, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
107

Additional practice sites

  • 800 E Washington Blvd, Crescent City, CA

Registry record

Primary taxonomy
367500000X
367500000X
Also registered as
163W00000X
Licence states on file
CA, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-09-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho