Individual
AUDREY MARIE HIBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-C
Contact information
Practice address
67 EUSTIS PKWY, WATERVILLE, ME 04901-5173
(207) 873-2136
Mailing address
104 RAINBOW DR, 466 PMB, LIVINGSTON, TX 77399-0001
(207) 577-7904
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
700670
TX
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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