Provider Demographics
NPI:1669041216
Name:RUBIO ABELAIZ, ADILENE (RN)
Entity type:Individual
Prefix:
First Name:ADILENE
Middle Name:
Last Name:RUBIO ABELAIZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1441 E GERMANN RD APT 2034
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-1792
Mailing Address - Country:US
Mailing Address - Phone:520-606-8912
Mailing Address - Fax:
Practice Address - Street 1:2402 W BEARDSLEY RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-3301
Practice Address - Country:US
Practice Address - Phone:623-516-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-18
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ223666163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse