Provider Demographics
NPI:1558100941
Name:HUBBARD, PAIGE MARIE (PA)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:MARIE
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:33 STANIFORD ST FL 2
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02905-3105
Mailing Address - Country:US
Mailing Address - Phone:401-421-8800
Mailing Address - Fax:401-273-6510
Practice Address - Street 1:1407 S COUNTY TRL
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-1652
Practice Address - Country:US
Practice Address - Phone:401-886-4040
Practice Address - Fax:401-421-4291
Is Sole Proprietor?:No
Enumeration Date:2024-05-23
Last Update Date:2025-10-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
RIPA01824363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant