MEDICARE: MELISSA D. RUBINSKY RN,ACNS-BC,AGPCNP-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
1	363L00000X	Nurse Practitioner	RN2291169	MA
2	364SA2200X	Adult Health Clinical Nurse Specialist	AP122495	TX

General Provider Information

NPI Number	:	1821340951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA D. RUBINSKY RN,ACNS-BC,AGPCNP-BC

Provider Business Mailing Address
First Line	:	1 JOSLIN PL
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02215-5306
Country	:	US
Telephone Number	:	617-309-2400
Fax Number	:

Provider Business Practice Location Address
First Line	:	2014 WASHINGTON ST
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02462-1607
Country	:	US
Telephone Number	:	617-243-6000
Fax Number	:

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

Provider Enumeration Date	:	10/12/2012
Last Update Date	:	03/07/2026

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