Individual
DOMINIC JOHN-PAUL HUBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
11050 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1739
(833) 724-8326
(260) 266-7935
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
28219153A
IN
363L00000X
Nurse Practitioner
Primary
71014044A
IN
Other
Enumeration date
06/12/2023
Last updated
08/02/2023
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