| NPI | 1184634156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA JOHNSON Authorized Official 540-224-5715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2018-07-19 |