Provider Demographics
NPI:1164771804
Name:IGBER, JOY (RN)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:IGBER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2728 CASTLE ST
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89030-3830
Mailing Address - Country:US
Mailing Address - Phone:702-217-0627
Mailing Address - Fax:
Practice Address - Street 1:600 B ST STE 1570
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-4560
Practice Address - Country:US
Practice Address - Phone:619-615-0439
Practice Address - Fax:619-615-3197
Is Sole Proprietor?:No
Enumeration Date:2012-09-07
Last Update Date:2019-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA818979163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse