| NPI | 1750940532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA HARLAN Director 615-577-6340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2022-08-02 |