OrganizationActive
Dr. Rubys Haven Blends and Bubbles
NPI 1992650923 · Nurse Practitioner · Antlers, OK
Provider details
- NPI number
- 1992650923
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Ruby Pate, Ceo, Dnp(580) 209-6111
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
107 Se 2nd St
Antlers, OK 74523-4018
Phone: (580) 209-6111
Fax: (580) 982-5482
Approximate (ZIP-level) locationGet directions
Mailing address
107 Se 2nd St
Antlers, OK 74523-4018
Registry dates
- Enumerated
- 2026-03-04
- Last updated
- 2026-04-15
- Certified
- 2026-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.