| NPI | 1689493652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA LONG Owner 615-721-5121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-10-07 |