| NPI | 1548960784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA BOCAN C RN A 870-949-6606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-03-22 |