| NPI | 1790384071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIA FISHER Credentialing Specialist 812-962-7894 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2022-11-02 |