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NPI Code Detail

MEDICARE: MRS. ERIKA ESTES RUBANT NP

MEDICARE:  MRS. ERIKA ESTES RUBANT  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse PractitionerRN150711GA
2363L00000XNurse PractitionerRN150711GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RN150711OTHERGANURSING LICENSE NUMBER

General Provider Information

NPI Number : 1639814676
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ERIKA ESTES RUBANT NP
Provider Business Mailing Address
First Line : 745 CHASTAIN RD NW STE 1060
Second Line :
City : KENNESAW
State : GA
Zip : 30144-3002
Country : US
Telephone Number : 470-450-4156
Fax Number : 678-213-1529
Provider Business Practice Location Address
First Line : 745 CHASTAIN RD NW STE 1060
Second Line :
City : KENNESAW
State : GA
Zip : 30144-3002
Country : US
Telephone Number : 470-450-4156
Fax Number : 678-213-1529
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2022
Last Update Date : 06/01/2026

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