Individual
HEATHER KERUBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3286 PENTAGON BLVD, BEAVERCREEK, OH 45431-1789
(937) 286-5814
Mailing address
3286 PENTAGON BLVD # 10, BEAVERCREEK, OH 45431-1789
(937) 286-5814
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP0035551
OH
Other
Enumeration date
10/24/2024
Last updated
03/04/2026
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