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NPI Code Detail

MEDICARE: MELISSA LEIGH RUBIN CNM, ARNP

MEDICARE: MELISSA LEIGH RUBIN CNM, ARNP
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
1363L00000XNurse PractitionerAP60676456WA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAP60676456WA
3367A00000XAdvanced Practice MidwifeAP30006636WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811043441
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA LEIGH RUBIN CNM, ARNP
Provider Business Mailing Address
First Line : 4221 SW JUNEAU ST
Second Line :
City : SEATTLE
State : WA
Zip : 98136-1621
Country : US
Telephone Number : 206-203-2166
Fax Number :
Provider Business Practice Location Address
First Line : 4221 SW JUNEAU ST
Second Line :
City : SEATTLE
State : WA
Zip : 98136-1621
Country : US
Telephone Number : 206-203-2166
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2007
Last Update Date : 08/24/2023

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