| 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 |