Most Relevant Information
Provider Data
| NPI Number: | 1003669128 |
| Provider Name: | PETER C HUBBARD RN, BSN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WE0003X |
| Specialty: | Registered Nurse |
| License Number: | RN155275 |
Most Important Dates
| Enumeration Date: | 04/09/2024 |
| Last Updated: | 04/09/2024 |
Provider Practice Location
1500 S MILL AVE
TEMPE
AZ
852816699
Practice Location Phone/Fax
| Phone: | 4807845500 |
| Fax: |
Provider Mailing Location
2641 W BUTLER DR APT 1
PHOENIX
AZ
850514147
Provider Mailing Phone/Fax
| Phone: | 4804924434 |
| Fax: |