| NPI | 1750061610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDI KEETON Sr Director, Hospital Based Ops 877-892-9815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 208M00000X Hospitalist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2024-01-24 |