Provider Demographics
NPI:1851047997
Name:TRUBE, MARYBETH ANN (RN)
Entity Type:Individual
Prefix:
First Name:MARYBETH
Middle Name:ANN
Last Name:TRUBE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MARYBETH
Other - Middle Name:ANN
Other - Last Name:GUAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:233 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02324-1786
Mailing Address - Country:US
Mailing Address - Phone:508-807-5265
Mailing Address - Fax:
Practice Address - Street 1:233 BROAD ST
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02324-1786
Practice Address - Country:US
Practice Address - Phone:508-807-5265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-28
Last Update Date:2023-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2300978363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner