| NPI | 1376917807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA A REGAN Managing Member 701-319-0092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 079253) |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2015-11-20 |