| NPI | 1760438329 |
|---|---|
| Doing Business As | NRI PROVIDENCE |
| Entity Type | Organization |
| Authorized Contact | TYRONDA FEATHERSTON Credentialing Specialist 615-234-1165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2008-01-29 |