| NPI | 1518212604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL A MAZZONI Member 615-385-3704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2013-11-08 |