Individual
SHARON M HUBBARD
Active
Individual
SHARON M HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28101953A
IN
367500000X
Certified Registered Nurse Anesthetist
3003872
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000283663
BLUE SHIELD
KY
01
—
163460034
MEDICARE
IN
05
—
200515430
—
IN
01
—
2783438000
PASSPORT ADVANTAGE
KY
01
—
430079779
RAILROAD MEDICARE
—
01
—
50012803
PASSPORT
KY
05
—
7100110280
—
KY
Enumeration date
10/04/2005
Last updated
03/01/2023
Update your record
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