RUBENA KEISE APN
NPI 1386907517
Nurse Practitioner - Adult Health in Detroit, MI
Active since June 22, 2012
About Rubena Keise Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUBENA KEISE APN (NPI 1386907517) is an individual adult health provider in Detroit, Michigan, licensed in Michigan (4704317076) and active in the NPI registry since June 2012.
NPPES Registry Identity
NPI1386907517
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameRUBENA KEISECredential: APN
Location Address19445 W WARREN AVEDetroit, MI 48228-3361
Mailing Address32 Tillou Rd WSouth Orange, NJ 07079-1357 · (732) 331-7797 · Fax (732) 544-0474
Phone(313) 307-0088
Fax(313) 281-2235
Sole ProprietorNo
Enumeration DateJune 22, 2012
Last NPPES UpdateNovember 7, 2020
NPPES CertifiedNovember 7, 2020
✔ NPI 1386907517 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in MI · 4704317076✔ Licensed in NJ · 26NJ00382500
19445 W WARREN AVE, Detroit, MI 48228
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386907517, enumerated as an "individual" on June 22, 2012.
The provider is located at 19445 W WARREN AVE DETROIT, MI 48228 and the phone number is (313) 307-0088.
Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.
