Provider Demographics
NPI:1659593242
Name:RUBARTH, LORRAINE BAAS (PHD, APRN, NNP-BC)
Entity Type:Individual
Prefix:DR
First Name:LORRAINE
Middle Name:BAAS
Last Name:RUBARTH
Suffix:
Gender:F
Credentials:PHD, APRN, NNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2303 S 183RD CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-2786
Mailing Address - Country:US
Mailing Address - Phone:402-502-9801
Mailing Address - Fax:402-502-9801
Practice Address - Street 1:CREIGHTON UNIVERSITY SCHOOL OF NURSING
Practice Address - Street 2:2500 CALIFORNIA PLAZA
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68178-0001
Practice Address - Country:US
Practice Address - Phone:402-280-2604
Practice Address - Fax:402-280-2158
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110743363LN0000X, 363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care