Individual
WILLIAM BLAKE HUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
185 MITYLENE PARK LN, MONTGOMERY, AL 36117-7302
(334) 387-0948
(334) 387-0955
Mailing address
185 MITYLENE PARK LN, MONTGOMERY, AL 36117-7302
(334) 387-0948
(334) 387-0955
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-105635
AL
Other
Enumeration date
08/13/2013
Last updated
12/04/2020
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