Provider Demographics
NPI:1891264032
Name:RUBENSTEIN, CIARA NICOLE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:CIARA
Middle Name:NICOLE
Last Name:RUBENSTEIN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:CIARA
Other - Middle Name:NICOLE
Other - Last Name:SOSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 208357
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75320-3707
Mailing Address - Country:US
Mailing Address - Phone:512-485-7208
Mailing Address - Fax:443-648-6788
Practice Address - Street 1:213 HUNTERS VLG
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78132-4764
Practice Address - Country:US
Practice Address - Phone:855-876-7246
Practice Address - Fax:855-277-5070
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-16
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139019363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP139019OtherTEXAS BOARD OF NURSING
TX2H4364OtherTEXAS MEDICARE