Provider Demographics
NPI:1093302499
Name:RUBENNBAUER, DONNA D (INDEPENDENT PROVIDER)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:D
Last Name:RUBENNBAUER
Suffix:
Gender:F
Credentials:INDEPENDENT PROVIDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 MINDY LN
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-9514
Mailing Address - Country:US
Mailing Address - Phone:513-609-3717
Mailing Address - Fax:
Practice Address - Street 1:231 MINDY LN
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-9514
Practice Address - Country:US
Practice Address - Phone:513-609-3717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-31
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1305213376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker