Blue Manitou INC
Registered Nurse, Registered Nurse First Assistant in Scottsdale, AZ. Organization (NPI-2).
NPI number1467690438
StatusActive
Last updated in NPPESMar 2, 2016
Details
- NPI
- 1467690438
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue Manitou INC
- Organization subpart
- No
- Enumeration date
- Jan 29, 2009
- Last updated
- Mar 2, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WR0006X | Registered Nurse, Registered Nurse First Assistant | RN079151 | AZ | Yes |
Practice location
7400 E Osborn RdScottsdale, AZ 85251-6432
Phone 480-545-2610 · Fax 480-545-2673
Mailing address
Po Box 7566Chandler, AZ 85246-7566
Phone 480-545-2610 · Fax 480-545-2673
Authorized official
Kristin A Hubley
Owner
4805452610
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