| NPI | 1205880754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE BREWER Director Provider Enrollment 615-465-1626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2009-08-06 |