Provider Demographics
NPI:1013659952
Name:HUBBY, TOSHA JEAN (RN)
Entity Type:Individual
Prefix:
First Name:TOSHA
Middle Name:JEAN
Last Name:HUBBY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2026 DIVISION ST STE 100
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-8058
Mailing Address - Country:US
Mailing Address - Phone:360-812-7220
Mailing Address - Fax:
Practice Address - Street 1:2026 DIVISION ST STE 100
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-8058
Practice Address - Country:US
Practice Address - Phone:360-812-7220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-11
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60137676163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse