| NPI | 1356099154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRENT SASSMAN Owner/A.O 703-447-5790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2024-03-20 |