Mr. Charles Ruebelmann
Nurse Practitioner - Primary Care
Veterans Administration Medical Cente500 Foothill Blvd
Salt Lake City
, Utah 84148-0001
Mr. Charles Ruebelmann
Nurse Practitioner - Primary Care
Veterans Administration Medical Cente500 Foothill Blvd
Salt Lake City
, Utah 84148-0001
(801) 274-7140
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Mr. Charles Ruebelmann
- 3699 South Twinbrook Street
- Salt Lake City, UT
- Zip : 84109
- Phone : (801) 274-7140
Second Address
- Mr. Charles Ruebelmann
- Veterans Administration Medical Cente500 Foothill Blvd
- Salt Lake City, UT
- Zip : 84148-0001
- Phone : (801) 582-1565
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 342053-4405 | UT |
National Provider Identifier
| NPI | 1053330530 |
|---|---|
| Provider Name | Mr. Charles Ruebelmann |
| First Address | Salt Lake City, UT 84109 |
| Second Address | Salt Lake City, UT 84148-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.