| NPI | 1699869628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA G MADDEN-BERAN Owner 316-788-5657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2011-05-12 |