| NPI | 1013080688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY L GREEN Managing Member 307-358-5590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |