Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | AP126717 | TX |
N | 363LA2200X | Nurse Practitioner - Adult Health | AP126717 | TX |
N | 363LG0600X | Nurse Practitioner - Gerontology | AP126717 | TX |
NPI | 1063819837 |
---|---|
Provider Name | Sarah Hubbs |
First Address | Richardson, TX 75082 |
Second Address | Plano, TX 75093-8492 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2014 |
Last Update Date | 17/07/2020 |