Provider Demographics
NPI:1588147680
Name:HUBBARD, SARA CHRISTINE (APRN, CNP)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:CHRISTINE
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:CHRISTINE
Other - Last Name:GILPIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-CNP
Mailing Address - Street 1:535 NW 9TH ST STE 325
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73102-1035
Mailing Address - Country:US
Mailing Address - Phone:405-272-6877
Mailing Address - Fax:405-272-6878
Practice Address - Street 1:535 NW 9TH ST STE 325
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73102-1035
Practice Address - Country:US
Practice Address - Phone:405-272-6877
Practice Address - Fax:405-272-6878
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-13
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK0113020363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty