| NPI | 1366559130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEXY DIMAGGIO Credentialing Coordinator 913-721-3641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2026-01-14 |