| NPI | 1063169829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE KUCERA Director Of Finance 775-445-7917 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-03-02 |