Most Relevant Information
Provider Data
| NPI Number: | 1003565169 |
| Provider Name: | ASHLEY ANNE HUBBARD NP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2200X |
| Specialty: | Nurse Practitioner |
| License Number: | 310361 |
Most Important Dates
| Enumeration Date: | 03/23/2022 |
| Last Updated: | 03/25/2022 |
Provider Practice Location
540 UNION BLVD
WEST ISLIP
NY
117953105
Practice Location Phone/Fax
| Phone: | 6316692555 |
| Fax: |
Provider Mailing Location
183 RONKONKOMA AVE
LAKE RONKONKOMA
NY
117793343
Provider Mailing Phone/Fax
| Phone: | 5164457461 |
| Fax: |