| NPI | 1578163770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD MATTHEW DEMAREE Owner 615-865-5561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |