| NPI | 1801631692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA COOPER Revenue Cycle Coding Director 515-348-6054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-09-04 |