Bubb, Kirsten Ellen

Bubb, Kirsten Ellen is an sole proprietor health care provider with primary practice located at 1205 River Ave Fl 1 , Williamsport PA 17701-3724. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bubb, Kirsten Ellen can be contacted via phone (570) 323-5991.

Contact Information

Primary practice address
1205 River Ave Fl 1 Williamsport PA 17701-3724
Phone: (570) 323-5991
Fax: (570) 601-0302
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN574721 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP013148 Pennsylvania

Profile Details

NPI number 1134554751
LBN Legal business name Bubb, Kirsten Ellen
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2013
Last updated Apr 13th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134554751 NPPES
Pennsylvania MEDICAID 1031719800001
Pennsylvania Other 301451F6K

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