| NPI | 1801021464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA N WARREN COO 901-207-2017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2020-09-29 |