| NPI | 1750989877 |
|---|---|
| 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 | 2020-10-12 |
| Last Update Date | 2021-03-23 |