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NPI Code Detail

MEDICARE: MRS. HEATHER LYNN RUBERG CNP

MEDICARE: MRS. HEATHER LYNN RUBERG CNP
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
1363LN0000XNeonatal Nurse PractitionerCOA.10683-NPOH

General Provider Information

NPI Number : 1528379419
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HEATHER LYNN RUBERG CNP
Provider Business Mailing Address
First Line : 3333 BURNET AVE
Second Line : NEONATOLOGY/PULM. BIOLOGY ML 7009
City : CINCINNATI
State : OH
Zip : 45229-3026
Country : US
Telephone Number : 513-636-4830
Fax Number : 513-636-7868
Provider Business Practice Location Address
First Line : 3333 BURNET AVE
Second Line : NEONATOLOGY/PULM. BIOLOGY ML 7009
City : CINCINNATI
State : OH
Zip : 45229-3026
Country : US
Telephone Number : 513-636-4830
Fax Number : 513-636-7868
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2010
Last Update Date : 06/29/2026

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