Provider Demographics
NPI:1629024534
Name:HUBER, PATRICIA LEONORA I (APRN)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:LEONORA
Last Name:HUBER
Suffix:I
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:39 CARRIAGE LN
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03755-4701
Mailing Address - Country:US
Mailing Address - Phone:617-686-0830
Mailing Address - Fax:
Practice Address - Street 1:ONE MEDICAL CENTER DR
Practice Address - Street 2:DHMC-DEPARTMENT OF HEMATOLOGY/ONCOLOGY
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03756-1000
Practice Address - Country:US
Practice Address - Phone:603-650-4628
Practice Address - Fax:603-650-2334
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH05969-23363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health