Provider Demographics
NPI:1104695501
Name:GHASLETWALA, RUBINA SHAFIQUE (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:RUBINA
Middle Name:SHAFIQUE
Last Name:GHASLETWALA
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12110 LEBANON RD
Mailing Address - Street 2:
Mailing Address - City:SHARONVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45241-1739
Mailing Address - Country:US
Mailing Address - Phone:513-853-9700
Mailing Address - Fax:513-852-8970
Practice Address - Street 1:12110 LEBANON RD
Practice Address - Street 2:
Practice Address - City:SHARONVILLE
Practice Address - State:OH
Practice Address - Zip Code:45241-1739
Practice Address - Country:US
Practice Address - Phone:513-853-9700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-27
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0034060363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily