| NPI | 1114008745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL RENEE MCMILLAN Credentials Manager 877-277-9030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2013-10-31 |