1063027449 NPI number — MRS. RACHEL ANN RUBENSTEIN APRN, CNP

Table of content: NAOMI GOLSHAN (NPI 1124916838)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063027449 NPI number — MRS. RACHEL ANN RUBENSTEIN APRN, CNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RUBENSTEIN
Provider First Name:
RACHEL
Provider Middle Name:
ANN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
APRN, CNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HARLOCK
Provider Other First Name:
RACHEL
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
APRN, CNP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1063027449
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/12/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
75 ARCH STREET
Provider Second Line Business Mailing Address:
SUITE G2
Provider Business Mailing Address City Name:
AKRON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44304
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-375-7594
Provider Business Mailing Address Fax Number:
330-375-6334

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
75 ARCH STREET AKRON CITY HOSPITAL
Provider Second Line Business Practice Location Address:
SUITE G2
Provider Business Practice Location Address City Name:
AKRON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-375-7594
Provider Business Practice Location Address Fax Number:
330-375-6334
Provider Enumeration Date:
09/11/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LA2200X , with the licence number:  LE-00033471 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com