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NPI Code Detail

MEDICARE: RUBY CONTRERAS FNP

MEDICARE: RUBY CONTRERAS 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
1363LF0000XFamily Nurse Practitioner23538SC

General Provider Information

NPI Number : 1710525100
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUBY CONTRERAS FNP
Provider Business Mailing Address
First Line : 300 E MCBEE AVE FL 4
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2842
Country : US
Telephone Number : 864-695-6697
Fax Number :
Provider Business Practice Location Address
First Line : 890 W FARIS RD STE 470
Second Line :
City : GREENVILLE
State : SC
Zip : 29605-4281
Country : US
Telephone Number : 864-455-1600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2019
Last Update Date : 12/15/2025

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Directions to “ RUBY CONTRERAS FNP” Practice Location

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