NPI 1043769011 · live from the CMS NPI Registry
Trevor Hansen, MD
Dermatology in Alexandria, VA. National Provider Identifier 1043769011, active.
NPI record
| NPI | 1043769011 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 1900 N Beauregard St Ste 110, Alexandria, VA 22311 |
| Practice phone | 703-212-7546 |
| Enumerated | September 30, 2016 |
| Last updated | May 31, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Dermatology primary | 207N00000X | 010127868 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.