| NPI | 1609653013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW SACQUITNE Nurse Anesthetist 563-379-4131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |