Individual
NICHOLE A HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2751 BAY PARK DR STE 303, OREGON, OH 43616-4922
(419) 693-0711
(419) 693-2320
Mailing address
100 MADISON AVE, TOLEDO, OH 43604-1516
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50001377
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067932
—
OH
Enumeration date
07/05/2005
Last updated
07/24/2024
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