NPI: 1740795293 · WASHINGTON, DC 20017 · Certified Registered Nurse Anesthetist · NPI assigned 12/06/2017
| Authorized Official | HIGGINBOTHAN, BEAU (VICE PRESIDENT/COO) |
| Parent Organization | PROVIDENCE HOSPITAL |
| NPI Enumeration Date | 12/06/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 467 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00142 | 467 | 341 | $10K |