| NPI | 1699784090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELENIE NACHIMSON Credentialing Specialist 405-775-9350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK R0022980) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2011-06-29 |