Individual
MRS. ALISON CRISS IBANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4439 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23462-3100
(757) 252-0590
(757) 425-7180
Mailing address
4439 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23462-3100
(757) 252-0590
(757) 425-7180
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001179524
VA
363LF0000X
Family Nurse Practitioner
Primary
0024167759
VA
Other
Enumeration date
01/06/2007
Last updated
04/02/2020
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