Provider Demographics
NPI:1518403088
Name:HUEBSCH, RILEY
Entity Type:Individual
Prefix:
First Name:RILEY
Middle Name:
Last Name:HUEBSCH
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 1:6117 MONONA DR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:MONONA
Mailing Address - State:WI
Mailing Address - Zip Code:53716-4303
Mailing Address - Country:US
Mailing Address - Phone:608-475-0560
Mailing Address - Fax:
Practice Address - Street 1:6117 MONONA DR
Practice Address - Street 2:SUITE 5
Practice Address - City:MONONA
Practice Address - State:WI
Practice Address - Zip Code:53716-4303
Practice Address - Country:US
Practice Address - Phone:608-475-0560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-09
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula