| NPI | 1174125876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA HARLAN Director 615-577-6340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2024-04-02 |