| NPI | 1003881822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD H WEISNER COO 252-962-8071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC H0228) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2018-10-29 |