Healthcare Provider Details

I. General information

NPI: 1871593855
Provider Name (Legal Business Name): CECELIA ANN HUBBARD ARNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2005
Last Update Date: 04/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5151 N 9TH AVE
PENSACOLA FL
32504-8721
US

IV. Provider business mailing address

2810 SILENTWOOD DR
CANTONMENT FL
32533-4863
US

V. Phone/Fax

Practice location:
  • Phone: 850-416-6670
  • Fax: 850-416-4694
Mailing address:
  • Phone: 850-324-3115
  • Fax: 850-416-4694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9208055
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: