Doctor Name: | HEATHER S HUBBARD |
NPI Number: | 1376749010 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | WHNP, RN |
License Number: | 28149594A |
Business Practice Address: | 2501 Capehart Rd Offutt Afb, NE - 681131043 |
Business Phone Number: | 4022947401 |
Business Fax Number: | |
Mailing Address: | 2501 Capehart Rd, OFFUTT AFB |
State: | NE |
Postal Code: | 681131043 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/21/2007 |
NPI Last Update Date: | 02/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | 28149594A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |