| NPI | 1356743033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN KOCHENDORFER Provider Enrollment & Cred Manager 615-263-4012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2023-09-07 |