| Doctor Name: | MS. MARYLU HELEN HUBBE |
| NPI Number: | 1023179421 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | AP30006018 |
| Business Practice Address: | 8901 W Gage Blvd Kennewick, WA - 99336 |
| Business Phone Number: | 5097351100 |
| Business Fax Number: | 5097351180 |
| Mailing Address: | 8901 W Gage Blvd, KENNEWICK |
| State: | WA |
| Postal Code: | 99336 |
| Phone Number: | 5097351100 |
| Fax Number: | 5097351180 |
| NPI Enumeration Date: | 12/12/2006 |
| NPI Last Update Date: | 07/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP30006018 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |