| NPI | 1497350508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTOPHER A BAILEY Owner/C RN A 479-926-9089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2020-12-08 |