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Individual

MS. BLANCHE HUBLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
112 NORTH SEVENTH STREET, CHAMBERSBURG, PA 17201-1720
(717) 267-3000
(717) 217-4217
Mailing address
785 5TH AVENUE, SUITE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 217-4217

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN148188L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050514
GROUP MEDICARE #
PA
05
101960220 0001
PA
01
120420418
DEPT OF LABOR
PA
01
25-1716306
FIRST HEALTH
PA
01
253409
UNISON
PA
01
50073155
CAPITAL BLUECROSS
PA
01
P00458415
RAILROAD MEDICARE
PA
01
PEARL
HEALTH AMERICA
PA
01
RN148188L
RN LICENSE
PA
Enumeration date
09/02/2005
Last updated
01/15/2010
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