| NPI | 1659976751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL D GIBSON Ar/Credentialing Manager 615-620-2336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2020-12-04 |