Provider Demographics
NPI:1497356448
Name:HUBBARD, CONNIE RHNEA
Entity Type:Individual
Prefix:MS
First Name:CONNIE
Middle Name:RHNEA
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 S WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-3548
Mailing Address - Country:US
Mailing Address - Phone:513-623-1335
Mailing Address - Fax:
Practice Address - Street 1:290 S WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-3548
Practice Address - Country:US
Practice Address - Phone:513-623-1335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-05
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker