| NPI | 1134620529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL TEIKEN Managing Employee 615-327-4304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 367500000X Nurse Anesthetist, Certified Registered | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-06-27 |