| Doctor Name: | TAMI J HUBERTY |
| NPI Number: | 1093946022 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | R167468-4 |
| Business Practice Address: | 2251 Connecticut Avenue S Hp Central Mn Clinics Sartell, MN - 563772486 |
| Business Phone Number: | 3202535220 |
| Business Fax Number: | 3202032113 |
| Mailing Address: | 8170 33rd Ave S, Ns21110q MINNEAPOLIS |
| State: | MN |
| Postal Code: | 554254516 |
| Phone Number: | 9528835375 |
| Fax Number: | 3202032113 |
| NPI Enumeration Date: | 08/07/2009 |
| NPI Last Update Date: | 12/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R167468-4 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |