Provider Demographics
NPI:1770096539
Name:HUBER, DANIEL STEVE (BSN, RN)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:STEVE
Last Name:HUBER
Suffix:
Gender:M
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6643 COUNTY HIGHWAY BC
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:WI
Mailing Address - Zip Code:54656-3593
Mailing Address - Country:US
Mailing Address - Phone:608-487-5094
Mailing Address - Fax:
Practice Address - Street 1:6643 COUNTY HIGHWAY BC
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:WI
Practice Address - Zip Code:54656-3593
Practice Address - Country:US
Practice Address - Phone:608-487-5094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-14
Last Update Date:2017-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI223742163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical