| NPI | 1811368327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA RENEE COLBERT Administrator 870-935-6396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2025-01-17 |