Doctor Name: | CARLA J HUBER |
NPI Number: | 1053505867 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | R27290 |
Business Practice Address: | 516 Nizhoni Blvd Gallup, NM - 873015748 |
Business Phone Number: | 5057221000 |
Business Fax Number: | 5057221310 |
Mailing Address: | Po Box 1337, GALLUP |
State: | NM |
Postal Code: | 873051337 |
Phone Number: | 5057221000 |
Fax Number: | 5057221310 |
NPI Enumeration Date: | 09/05/2007 |
NPI Last Update Date: | 09/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WE0003X |
License Number: | R27290 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Emergency |
Taxonomy Definition: |