| NPI | 1386338887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA M JOHNSON President 757-620-3881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2023-06-07 |