# BLUE MANITOU INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467690438
- **Authorized official:** KRISTIN A HUBLEY CRNFA (OWNER)
- **Authorized official phone:** (480) 545-2610

## Contact information

- **Practice address:** 7400 E OSBORN RD, SCOTTSDALE, AZ 85251-6432
- **Practice address phone:** (480) 545-2610
- **Practice address fax:** (480) 545-2673
- **Mailing address:** PO BOX 7566, CHANDLER, AZ 85246-7566
- **Mailing address phone:** (480) 545-2610
- **Mailing address fax:** (480) 545-2673

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | RN079151 | AZ | Yes |

## Other

- **Enumeration date:** 01/29/2009
- **Last updated:** 03/02/2016