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Individual
MRS. ERICA S TUBBS
Active
Individual
MRS. ERICA S TUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1149
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
246574
MIDLANDS CHOICE
NE
01
—
39168
BCBS
NE
05
—
507046435
—
NE
Enumeration date
05/11/2006
Last updated
11/28/2023
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