| NPI | 1063583722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA FAISON EDWARDS President 757-403-6728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-05-20 |