Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Water Ear Nose and Throat, PA

Organization Otolaryngology Physician · NPI 1295255255

Blue Water Ear Nose and Throat, PA is an Otolaryngology Physician in Nags Head, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.

Licensed in
NC
In the registry since
2017
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4917 S Croatan Hwy Ste 1C
Nags Head, NC 27959-8996
Phone: (252) 489-4682
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X (NC)

Record details

NPI number1295255255
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marci Lait — Physician · (252) 489-4682
NPI enumeratedJune 21, 2017
Last updated in NPPESJuly 21, 2022
Mailing address4917 S Croatan Hwy Ste 1c, Nags Head, NC 27959-8996

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