Provider Demographics
NPI:1639814676
Name:RUBANT, ERIKA ESTES (NP)
Entity Type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:ESTES
Last Name:RUBANT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5445 MERIDIAN MARK RD STE 270
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-4766
Mailing Address - Country:US
Mailing Address - Phone:404-843-2220
Mailing Address - Fax:404-843-0812
Practice Address - Street 1:5445 MERIDIAN MARK RD STE 270
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-4766
Practice Address - Country:US
Practice Address - Phone:404-843-2220
Practice Address - Fax:404-843-0812
Is Sole Proprietor?:No
Enumeration Date:2022-05-04
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN150711363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARN150711OtherNURSING LICENSE NUMBER