| NPI | 1851865984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MCNEILL Credentialing Coordinator 225-923-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-01-11 |