| NPI | 1730751090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN VAUGHN Officer 877-328-1119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2023-05-04 |