Rubesh, Penny L

Rubesh, Penny L is an individual health care provider with primary practice located at 1555 Northway Drive Suite 200, St Cloud MN 56303-4913. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Rubesh, Penny L can be contacted via phone (320) 240-3157.

Contact Information

Primary practice address
1555 Northway Drive Suite 200 St Cloud MN 56303-4913
Phone: (320) 240-3157
Fax: (320) 240-3143
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X MNR1163739 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R-116373-9 Minnesota

Profile Details

NPI number 1013984491
LBN Legal business name Rubesh, Penny L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Jun 14th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013984491 NPPES
Minnesota MEDICAID 186660500

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