| NPI | 1538490727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY ANTHONY MELANCON President 239-287-4376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9189562) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2024-08-27 |