Provider Demographics
NPI:1497567028
Name:RUBLE, GABRIELLE ANN
Entity type:Individual
Prefix:MRS
First Name:GABRIELLE
Middle Name:ANN
Last Name:RUBLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9260 AVON RD NE
Mailing Address - Street 2:
Mailing Address - City:SALINEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43945-9401
Mailing Address - Country:US
Mailing Address - Phone:330-429-4206
Mailing Address - Fax:
Practice Address - Street 1:9260 AVON RD NE
Practice Address - Street 2:
Practice Address - City:SALINEVILLE
Practice Address - State:OH
Practice Address - Zip Code:43945-9401
Practice Address - Country:US
Practice Address - Phone:330-429-4206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant