Provider Demographics
NPI:1215458641
Name:RUMBERGER, CAROLE A (NPP)
Entity type:Individual
Prefix:
First Name:CAROLE
Middle Name:A
Last Name:RUMBERGER
Suffix:
Gender:F
Credentials:NPP
Other - Prefix:
Other - First Name:CAROLE
Other - Middle Name:A
Other - Last Name:MUHLBERGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:516 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:RENSSELAER
Mailing Address - State:NY
Mailing Address - Zip Code:12144-1440
Mailing Address - Country:US
Mailing Address - Phone:518-980-9810
Mailing Address - Fax:518-980-9818
Practice Address - Street 1:516 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:RENSSELAER
Practice Address - State:NY
Practice Address - Zip Code:12144-1440
Practice Address - Country:US
Practice Address - Phone:518-980-9810
Practice Address - Fax:518-980-9818
Is Sole Proprietor?:No
Enumeration Date:2017-07-07
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF402386363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health