Whalio Doctors

NPI 1184603201

Buena Vista Anesthesia Associates Plc

Organisation Certified Registered Nurse Anesthetist Storm Lake, IA

Practice location

Address
1525 W 5th St, Storm Lake, IA 50588
Phone
(573) 686-5550
Fax
(573) 686-2139
Mailing address
209 S Main St, Poplar Bluff, MO 63901-5831

Authorised official

Name
Stephanie Maxine Krauth
Title
Operating Manager
Phone
(573) 686-5550

Registered specialties (3)

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence D040615 (IA)
Certified Registered Nurse Anesthetist
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 100514 (NE)
Certified Registered Nurse Anesthetist
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 148752 (MO)

Registry record

NPI
1184603201
Entity type
Organization
NPI issued
17 Jan 2006
Record last updated
31 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.