Provider Demographics
NPI:1497284533
Name:SMITH, RUBEENA REHMAN (DNP)
Entity type:Individual
Prefix:
First Name:RUBEENA
Middle Name:REHMAN
Last Name:SMITH
Suffix:
Gender:
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 10TH ST
Mailing Address - Street 2:
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-5044
Mailing Address - Country:US
Mailing Address - Phone:575-434-2960
Mailing Address - Fax:505-443-8324
Practice Address - Street 1:1501 10TH ST
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-5044
Practice Address - Country:US
Practice Address - Phone:575-434-2960
Practice Address - Fax:505-443-8324
Is Sole Proprietor?:No
Enumeration Date:2017-06-11
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP133758363LF0000X
NMCNP-03368363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily