| NPI | 1649211756 |
|---|---|
| Doing Business As | BUFFALO HOSPITAL CRNA |
| Entity Type | Organization |
| Authorized Contact | DOMINICA TALLARICO COO 612-222-2222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2024-03-22 |