| NPI | 1659103844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE CORONADO Administrator 623-341-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2024-08-15 |