Provider Demographics
NPI:1558156661
Name:RUBIN, ZARA L (CNA)
Entity type:Individual
Prefix:
First Name:ZARA
Middle Name:L
Last Name:RUBIN
Suffix:
Gender:
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1518 HARRINGTON ST # B
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:SC
Mailing Address - Zip Code:29108-2870
Mailing Address - Country:US
Mailing Address - Phone:803-723-5847
Mailing Address - Fax:
Practice Address - Street 1:1518 HARRINGTON ST # B
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:SC
Practice Address - Zip Code:29108-2870
Practice Address - Country:US
Practice Address - Phone:803-723-5847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty