Provider Demographics
NPI:1477513018
Name:RHINES, RUBY (CNP)
Entity Type:Individual
Prefix:
First Name:RUBY
Middle Name:
Last Name:RHINES
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 E FAIRVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:OLIVIA
Mailing Address - State:MN
Mailing Address - Zip Code:56277-4213
Mailing Address - Country:US
Mailing Address - Phone:320-523-1261
Mailing Address - Fax:320-523-3430
Practice Address - Street 1:400 E. MAIN
Practice Address - Street 2:
Practice Address - City:RENVILLE
Practice Address - State:MN
Practice Address - Zip Code:56277-1370
Practice Address - Country:US
Practice Address - Phone:320-329-8395
Practice Address - Fax:320-329-8397
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR115458-6363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNS53706Medicare UPIN