# MRS. CARLEEN M RUBEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114904380
- **Gender:** F
- **Credential:** ACNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 71002035A | IN | — |
| 363L00000X | Nurse Practitioner | 71002035A | IN | Yes |

## Other

- **Enumeration date:** 12/28/2005
- **Last updated:** 02/27/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000841081 | ANTHEM | IN |
| 05 | — | 200803510 | — | IN |
| 01 | — | P01263640 | RAILROAD MEDICARE | IN |