Individual
CHAD RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FPNP
Contact information
Practice address
502 W 29TH ST, TUCSON, AZ 85713-3353
(520) 884-9920
Mailing address
504 W 29TH ST, TUCSON, AZ 85713-3353
(520) 884-9920
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
RN103936
AZ
363LF0000X
Family Nurse Practitioner
AP1598
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP1598
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
741208
—
AZ
Enumeration date
09/20/2005
Last updated
04/28/2021
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