Organization
BUENA VISTA ANESTHESIA ASSOCIATES PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE M BINNING CRNA (CERTIFIED REGISTERED NURSE ANESTHET)
(712) 732-8147
Entity
Organization
Contact information
Practice address
1525 W 5TH ST, STORM LAKE, IA 50588
(712) 732-4030
(712) 749-5114
Mailing address
207 STONEY POINT DR, STORM LAKE, IA 50588
(712) 732-8147
(712) 749-5114
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0160879
—
IA
01
—
40130
BCBS
IA
Enumeration date
01/20/2006
Last updated
08/22/2020
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