Organization
BLUE MANITOU INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN A HUBLEY CRNFA (OWNER)
(480) 545-2610
Entity
Organization
Contact information
Practice address
7400 E OSBORN RD, SCOTTSDALE, AZ 85251-6432
(480) 545-2610
(480) 545-2673
Mailing address
PO BOX 7566, CHANDLER, AZ 85246-7566
(480) 545-2610
(480) 545-2673
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN079151
AZ
Other
Enumeration date
01/29/2009
Last updated
03/02/2016
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