Individual
MIKAELA B RUBENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
089970-23
NH
363LF0000X
Family Nurse Practitioner
APRN80837-NP-C
WV
363LF0000X
Family Nurse Practitioner
Primary
CNP181050
ME
363LF0000X
Family Nurse Practitioner
RN2376314
MA
363LF0000X
Family Nurse Practitioner
RN254699
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3810024049
GROUP MEDICAID
WV
01
—
B441
GROUP MEDICARE
WV
Enumeration date
09/19/2015
Last updated
11/22/2023
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