| NPI | 1710160577 |
|---|---|
| Other Name | USA CRNA |
| Entity Type | Organization |
| Authorized Contact | STANLEY K HAMMACK VP For Health Systems 251-471-7010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2008-07-16 |