| NPI | 1457971202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA FORSHEY Credentialing Manager 209-956-7725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-07-28 |