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 |