| NPI | 1972232023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY TIPPIT Authorized Official 727-203-5114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2023-07-06 |