Provider Demographics
NPI:1710213749
Name:RUBENSTEIN, CYNTHIA DICKERSON (RN, CPNP-PC)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:DICKERSON
Last Name:RUBENSTEIN
Suffix:
Gender:F
Credentials:RN, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:296 FLORIST RD
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22827-3013
Mailing Address - Country:US
Mailing Address - Phone:540-209-2506
Mailing Address - Fax:
Practice Address - Street 1:251 E GRACE ST
Practice Address - Street 2:MSC 7901
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22807-1015
Practice Address - Country:US
Practice Address - Phone:540-568-6178
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-27
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024128920363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics