Provider Demographics
NPI:1982282646
Name:HUBBARD, OLIVIA (APRN-CNP)
Entity Type:Individual
Prefix:MS
First Name:OLIVIA
Middle Name:
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12176 N MOPAC EXPY STE D
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-2908
Mailing Address - Country:US
Mailing Address - Phone:512-981-7246
Mailing Address - Fax:
Practice Address - Street 1:12176 N MOPAC EXPY STE D
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-2908
Practice Address - Country:US
Practice Address - Phone:512-981-7246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-01
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1031350363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily