NPI: 1316514383 · FAYETTEVILLE, AR 72703 · Certified Registered Nurse Anesthetist · NPI assigned 06/08/2021
| Authorized Official | CASEY, JOE (PRESIDENT) |
| NPI Enumeration Date | 06/08/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 19 | $557.66 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00142 | 19 | 14 | $557.66 |