Provider Demographics
NPI:1316253222
Name:HUBBARD, HOPE C (REGISTERED NURSE)
Entity type:Individual
Prefix:MRS
First Name:HOPE
Middle Name:C
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 SANLEE DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110-8973
Mailing Address - Country:US
Mailing Address - Phone:704-291-9354
Mailing Address - Fax:704-291-9354
Practice Address - Street 1:701 SANLEE DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-8973
Practice Address - Country:US
Practice Address - Phone:704-291-9354
Practice Address - Fax:704-291-9354
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC236908163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse