Organization
BLUE WATER ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY CHRISTINA STUBBS CRNA (OWNER)
(803) 238-6913
Entity
Organization
Contact information
Practice address
1823 COLLEGE AVE, MANHATTAN, KS 66502-3381
(803) 238-6913
Mailing address
1310 WESTLOOP PL STE A, #339, MANHATTAN, KS 66502
(803) 238-6913
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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