MRS. GWEN LEE RUBACH NURSE PRACTITIONER NPI 1912095712

NPI Information

NPI: 1912095712
Provider Name: MRS. GWEN LEE RUBACH, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
175 E ADAMS ST
IONIA, MI
ZIP 48846
Phone: (616) 527-3340
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MRS. Gwen Lee Rubach, NURSE PRACTITIONER is a women's health nurse practitioner in Ionia, MI. MRS. Gwen Lee Rubach, NURSE PRACTITIONER NPI is 1912095712. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

175 E ADAMS ST
IONIA, MI
ZIP 48846-672
Phone: (616) 527-3340

The enumeration date for this NPI number is 10/10/2006 and was last updated on 7/17/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	4704109915	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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