Provider Demographics
NPI:1881965549
Name:HUBBARD, SONJA R (NP)
Entity type:Individual
Prefix:MS
First Name:SONJA
Middle Name:R
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:43839 15TH ST W
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-4756
Mailing Address - Country:US
Mailing Address - Phone:661-945-5984
Mailing Address - Fax:661-951-3355
Practice Address - Street 1:HERITAGE HEALTH CARE
Practice Address - Street 2:38209 47TH ST E, SUITE C
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93552-3113
Practice Address - Country:US
Practice Address - Phone:661-272-3777
Practice Address - Fax:661-272-9107
Is Sole Proprietor?:No
Enumeration Date:2012-01-25
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA21590363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily