Individual
HOLLY CHRISTINA STUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4741 S COCHISE DR, INDEPENDENCE, MO 64055-6974
(816) 478-1230
Mailing address
174 BUTLER LAKE DR, SAINT SIMONS ISLAND, GA 31522-5437
(803) 238-6913
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2019043112
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
217065
GA
Other
Enumeration date
01/07/2013
Last updated
01/08/2020
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