Audrey P Rubano, NP
Nurse Practitioner in Manassas, VA. Individual provider (NPI-1).
NPI number1528123775
StatusActive
Last updated in NPPESFeb 25, 2020
Details
- NPI
- 1528123775
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Audrey P Rubano
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 27, 2006
- Certification date
- Feb 25, 2020
- Last updated
- Feb 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 0024173352 | VA | Yes |
Practice location
8100 Ashton AveManassas, VA 20109-5622
Phone 703-361-3255
Mailing address
3689 Waples Crest CtOakton, VA 22124-2134
Phone 917-328-2850
Other practice locations
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