Individual
TAMMY POWELL RUBICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-FNP-BC
Contact information
Practice address
3100 MACCORKLE AVE SE STE 902, CHARLESTON, WV 25304
(304) 388-6590
(304) 388-6595
Mailing address
3100 MACCORKLE AVE SE STE 902, CHARLESTON, WV 25304-1234
(304) 388-6590
(304) 388-6595
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN84476-FNP-BC
WV
Other
Enumeration date
07/24/2018
Last updated
08/03/2018
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