| NPI | 1225016801 |
|---|---|
| Doing Business As | DEACONESS HENDERSON ANESTHESIOLOGY |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE JENKINS VP 270-827-7118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2020-11-17 |