Individual
PAULA KAY RUBISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-6671
Mailing address
PO BOX 5041, JOPLIN, MO 64803-5041
(417) 631-2349
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1062144
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
2682A
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7400146200
—
KY
Enumeration date
09/07/2005
Last updated
03/29/2010
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