Individual ProviderAllison B StubberudNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3705 Medical Pkwy Ste 570, Austin, TX 78705(512) 454-2554(972) 233-1999PECOS EnrollmentBased on the most recent information from CMS, provider Allison B Stubberud does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1952810400Provider TypeIndividualFull NameStubberud, Allison BCredentialCRNAGenderFemaleSole ProprietorNoEnumeration Date9/28/2017Last Updated6/29/2020Contact InformationPractice LocationPractice Address3705 Medical Pkwy Ste 570, Austin, TX 78705Phone(512) 454-2554FaxUnlisted FaxMailing LocationMailing AddressPO Box 840853, Dallas, TX 75284-0853Phone(972) 233-1999Fax(972) 233-3666Provider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP135206Texas