NPI | 1558536623 |
---|---|
Entity Type | Organization |
Authorized Contact | MARILENE O BEARDSLEE Owner/President 574-267-6167 |
Organization Subpart ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28065229a) |
Enumeration Date | 2008-04-29 |
Last Update Date | 2012-01-24 |