Individual provider · Type 1 NPI

Diane Rubin

Family Nurse Practitioner · Philadelphia, PA

NPI number 1972171098 Active

Practice location

1080 N Delaware Ave Ste 300D
Philadelphia, PA 19125-4335

Mailing address

5905 Mccallum St
Philadelphia, PA 19144-2709

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN716633 (PA)
Family Nurse Practitioner Primary 363LF0000XSP032533 (PA)

Family Nurse Practitioner: Definition to come...

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About NPI 1972171098

Diane Rubin's National Provider Identifier is 1972171098, issued on Jun 15, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 17, 2025.