| NPI | 1326706763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER ERIN JOHNSON Organizer 850-516-0788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2023-09-08 |