NPI | 1689129504 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN K TANNER C RN A 228-990-4830 |
Organization Subpart ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-115992) |
Enumeration Date | 2016-08-20 |
Last Update Date | 2016-11-20 |