| NPI | 1124426259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LYNN KRUTAK EVP/CFO 423-302-3423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2018-02-26 |