| NPI | 1265677397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTELLE S JOHNSON Contract Analyst 757-934-9454 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |