| NPI | 1558304329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY TAYLOR C RN A 866-487-0277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2019-07-23 |