| NPI | 1295313765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY CALLONAS Staff C RN A 901-842-1473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2021-05-27 |