Individual
MS. LOU ANN HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
252 13TH AVE W, GUIN, AL 35563-2355
(205) 468-3355
Mailing address
PO BOX 340, GUIN, AL 35563-0340
(205) 468-3355
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1029249
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051000196
BLUE CROSS
AL
05
—
891008800
—
AL
Enumeration date
06/22/2006
Last updated
07/09/2007
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