Provider Demographics
NPI:1801110937
Name:IBAY, NARIZZA QUEMUEL (RN)
Entity type:Individual
Prefix:MS
First Name:NARIZZA
Middle Name:QUEMUEL
Last Name:IBAY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:NENET
Other - Middle Name:QUEMUEL
Other - Last Name:IBAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:410 N CENTER DR STE 102
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-4146
Mailing Address - Country:US
Mailing Address - Phone:757-961-0049
Mailing Address - Fax:757-961-0002
Practice Address - Street 1:410 N CENTER DR STE 102
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-4146
Practice Address - Country:US
Practice Address - Phone:757-961-0049
Practice Address - Fax:757-961-0002
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-18
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001076402163WH0200X, 163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WH1000XNursing Service ProvidersRegistered NurseHospice