Individual
AVIVA ELISE RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
730 SAINT MICHAELS DR STE 4B, SANTA FE, NM 87505-7606
(800) 230-7526
Mailing address
500 19TH AVE E, SEATTLE, WA 98112-4007
(206) 299-1600
(206) 299-1608
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
80947
NM
363LF0000X
Family Nurse Practitioner
Primary
AP60568543
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85905861
—
NM
Enumeration date
04/30/2012
Last updated
12/05/2024
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