Provider Demographics
NPI:1306934716
Name:HUBBELL, NANCY JANE (CRNP)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:JANE
Last Name:HUBBELL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24519 NEW POST RD
Mailing Address - Street 2:
Mailing Address - City:ST MICHAELS
Mailing Address - State:MD
Mailing Address - Zip Code:21663-2306
Mailing Address - Country:US
Mailing Address - Phone:410-745-4314
Mailing Address - Fax:
Practice Address - Street 1:100 SEYMOUR AVE
Practice Address - Street 2:
Practice Address - City:ST MICHAELS
Practice Address - State:MD
Practice Address - Zip Code:21663-2930
Practice Address - Country:US
Practice Address - Phone:410-745-2882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR100335363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily