Basic Information
| Provider Information | |||||||||
| NPI: | 1093066185 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RUMBLE | ||||||||
| FirstName: | MICHELLE | ||||||||
| MiddleName: | HAR | ||||||||
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| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2351 EISENHOWER AVENUE | ||||||||
| Address2: | 511 | ||||||||
| City: | ALEXANDRIA | ||||||||
| State: | VA | ||||||||
| PostalCode: | 223145359 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5719705634 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2333 ONTARIO ROAD, NW | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200092627 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2024838196 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/28/2012 | ||||||||
| LastUpdateDate: | 09/28/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN1003196 | DC | Y | Nursing Service Providers | Registered Nurse |
No ID Information.