Provider Demographics
NPI:1598707366
Name:HUBER, GLORIA JEAN (ARNP)
Entity Type:Individual
Prefix:
First Name:GLORIA
Middle Name:JEAN
Last Name:HUBER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 5TH CT SW
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32962-5644
Mailing Address - Country:US
Mailing Address - Phone:772-778-0108
Mailing Address - Fax:772-978-0000
Practice Address - Street 1:1900 NEBRASKA AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34950-4837
Practice Address - Country:US
Practice Address - Phone:772-466-7200
Practice Address - Fax:772-466-9513
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3062172363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily