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Individual

DEBORAH ELISE HUBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, RN, NP

Contact information

Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 887-2530
(570) 887-2904
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
380076-1
NY
363LW0102X
Women's Health Nurse Practitioner
420612-1
NY
367A00000X
Advanced Practice Midwife
F000893-1
NY
367A00000X
Advanced Practice Midwife
Primary
MW010186
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000025708
BCBS PROVIDER ID#
NY
01
00091755001
HEALTHNOW PROVIDER ID#
NY
05
02053294
NY
05
1009449830001
PA
01
161568690
UNITED HEALTHCARE ID#
NY
01
1899853
GHI PPO PROVIDER ID#
NY
01
AA0598
MEDICARE GROUP PIN
NY
01
GU039794
MEDICARE GROUP PIN
PA
Enumeration date
10/04/2005
Last updated
08/10/2011
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