Individual
STACEY H RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
43 WYNDWOOD ROAD, WEST HARTFORD, CT 06107
(860) 231-7679
Mailing address
43 WYNDWOOD RD, WEST HARTFORD, CT 06107-1144
(860) 231-7679
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
001391
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215947387
—
CT
Enumeration date
07/17/2009
Last updated
09/22/2022
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