| NPI | 1235503509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA LANGERUD Credentialing Contracting Manager 719-659-0275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2019-10-11 |