| NPI | 1528325867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN PATRICK REGAN Sole Member 605-209-3272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK R97399) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-09-24 |