| NPI | 1922522523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MICHELLE KENDALL Manager 479-856-1420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C02663) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2022-07-21 |