Individual
SHANIQUE RENEE RUBENS-WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
5333 MCAULEY DR, RM 4003, YPSILANTI, MI 48197-1099
(734) 712-3470
(734) 712-2935
Mailing address
5333 MCAULEY DR RM 4003, YPSILANTI, MI 48197-1099
(734) 712-3470
(734) 712-2935
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704252025
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704252025
MI
Other
Enumeration date
08/04/2011
Last updated
12/02/2025
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