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NPI Code Detail

MEDICARE: KRISTIN L. RUBENZER FNP-BC

MEDICARE: KRISTIN L. RUBENZER FNP-BC
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
1363LF0000XFamily Nurse Practitioner4229-33WI

General Provider Information

NPI Number : 1003124819
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN L. RUBENZER FNP-BC
Provider Business Mailing Address
First Line : 719 W HAMILTON AVE STE B
Second Line :
City : EAU CLAIRE
State : WI
Zip : 54701-6970
Country : US
Telephone Number : 715-552-9784
Fax Number : 715-835-6370
Provider Business Practice Location Address
First Line : 2919 STOUT RD
Second Line :
City : MENOMONIE
State : WI
Zip : 54751-2313
Country : US
Telephone Number : 715-309-4451
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2010
Last Update Date : 03/22/2024

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