| NPI | 1013483437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RANDALL NYE Chief Operating Officer 234-284-9236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2018-10-24 |