| NPI | 1437436102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE CARMELA MERRITT Practice Adminstrator 423-279-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2022-10-21 |