MEDICARE: DR. SARA L. HUBBELL NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	201875	NC
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	201875	NC

General Provider Information

NPI Number	:	1538166566
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARA L. HUBBELL NP

Provider Business Mailing Address
First Line	:	1616 EVANS RD STE 205
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27513-9653
Country	:	US
Telephone Number	:	919-533-9987
Fax Number	:	919-503-5798

Provider Business Practice Location Address
First Line	:	1616 EVANS RD STE 205
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27513-9653
Country	:	US
Telephone Number	:	919-533-9987
Fax Number	:	919-503-5798

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	04/04/2024

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