| NPI | 1730521386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MCKENNEY Authorized Official 615-550-6066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2020-01-15 |