Provider Demographics
NPI:1225832850
Name:HUBBARD, ADRIENE ARLENE (CERTIFIED DOULA)
Entity type:Individual
Prefix:
First Name:ADRIENE
Middle Name:ARLENE
Last Name:HUBBARD
Suffix:
Gender:
Credentials:CERTIFIED DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3344 JARVIS AVE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48091-3466
Mailing Address - Country:US
Mailing Address - Phone:313-247-1409
Mailing Address - Fax:
Practice Address - Street 1:3344 JARVIS AVE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48091-3466
Practice Address - Country:US
Practice Address - Phone:313-247-1409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula