MEDICARE: MARGARET RUTH AUBIN FNP

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
1	363LA2200X	Adult Health Nurse Practitioner	RN032217AP04266	LA
2	363LF0000X	Family Nurse Practitioner	RN032217AP04266	LA
3	363L00000X	Nurse Practitioner	AP60189618	WA

Other Identifiers

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

General Provider Information

NPI Number	:	1275515363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET RUTH AUBIN FNP

Provider Business Mailing Address
First Line	:	205 STEWART RD
Second Line	:
City	:	MOUNT VERNON
State	:	WA
Zip	:	98273-9607
Country	:	US
Telephone Number	:	360-416-3322
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 STEWART RD
Second Line	:
City	:	MOUNT VERNON
State	:	WA
Zip	:	98273-9607
Country	:	US
Telephone Number	:	360-416-3322
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	07/17/2013

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