| NPI | 1184603201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MAXINE KRAUTH Operating Manager 573-686-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D040615) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 100514) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 148752) | |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2015-07-31 |