Provider Demographics
NPI:1134722986
Name:ISBERTO, DIANAH LYNN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DIANAH
Middle Name:LYNN
Last Name:ISBERTO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 IVY TRL APT B
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-7642
Mailing Address - Country:US
Mailing Address - Phone:757-470-7501
Mailing Address - Fax:
Practice Address - Street 1:1325 IVY TRL APT B
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-7642
Practice Address - Country:US
Practice Address - Phone:757-470-7501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202219170183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist