Individual
REBECCA HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2402 SOUTH ST, LAFAYETTE, IN 47904-3063
(765) 446-9229
(765) 446-9339
Mailing address
1801 ALYDAR CT, WEST LAFAYETTE, IN 47906-4681
(765) 409-1507
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28157140C
IN
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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