| NPI | 1003031121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAWYANA MAE FLEMING C RN A 301-497-9944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R143442) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 35280) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 180984) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 1499) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2008-04-01 |