| NPI | 1578881132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWIGHT DANIEL BIVENS Secretary/Treasurer 865-986-9233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: TN 145961) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2010-05-06 |