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

Table of Contents

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)





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