MEDICARE: NANCY HUBER PA-C

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	363A00000X	Physician Assistant	11107779-1206	UT
2	363AM0700X	Medical Physician Assistant	11107779-1206	UT
3	363A00000X	Physician Assistant	25MP003503000	NJ

General Provider Information

NPI Number	:	1558766014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY HUBER PA-C

Provider Business Mailing Address
First Line	:	2965 W 3500 S
Second Line	:
City	:	WEST VALLEY CITY
State	:	UT
Zip	:	84119-3602
Country	:	US
Telephone Number	:	801-965-3600
Fax Number	:

Provider Business Practice Location Address
First Line	:	2965 W 3500 S
Second Line	:
City	:	WEST VALLEY CITY
State	:	UT
Zip	:	84119-3602
Country	:	US
Telephone Number	:	801-965-3600
Fax Number	:

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

Provider Enumeration Date	:	10/27/2014
Last Update Date	:	03/24/2026

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1396720058 — STEVE ALAN OLIVER MD
Practice Location Address:

2965 W 3500 S
WEST VALLEY CITY, UT
84119-3602

Practice Phone: 801-965-3600
Practice Fax:

1700842804 — DR. KENNON CHRISTOPHER TUBBS MD
Practice Location Address:

2965 W 3500 S
WEST VALLEY CITY, UT
84119-3602

Practice Phone: 801-965-3600
Practice Fax:

1760410666 — CRAIG A BRASHER MD
Practice Location Address:

2965 W 3500 S
WEST VALLEY CITY, UT
84119-3602

Practice Phone: 801-965-3600
Practice Fax:

1134159288 — JAMES RUSSELL GRUA M.D.
Practice Location Address:

2965 W 3500 S
WEST VALLEY CITY, UT
84119-3602

Practice Phone: 801-965-3600
Practice Fax:

Directions to “ NANCY HUBER PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.