person
Alicia Lynne Ibanez, PA
Medical Physician Assistant in Charlotte, North Carolina
NPI 1124364070

Alicia Lynne Ibanez is a Medical Physician Assistant based in Mooresville, NC and is specialized in Medical. Alicia Lynne Ibanez practices in Charlotte, NC and has the professional credentials of PA. The NPI Number for Alicia Lynne Ibanez is 1124364070 and holds a License No. 0010-03995 (North Carolina).

The current practice location address for Alicia Lynne Ibanez is 2131 Ayrsley Town Blvd, Charlotte, NC and can be reached out via phone at 980-297-7733 and via fax at 980-297-7744.

Location: 2131 Ayrsley Town Blvd, Charlotte, NC, 28117-5954
person
Provider Profile Details
NPI Number
1124364070
Provider Name
Alicia Lynne Ibanez
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2131 Ayrsley Town Blvd, Charlotte, NC, 28117-5954
Phone Number
980-297-7733
Fax Number
980-297-7744
Provider Enumeration Date
12/21/2012
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1570PA 05 SC
1124364070 05 NC
8103056 05 NC
institution
Provider Business Practice Location Address Details
Address
2131 Ayrsley Town Blvd
City
State
Zip
28273-3595
Phone Number
980-297-7733
Fax Number
980-297-7744
person
Provider Business Mailing Address Details
Address
2131 Ayrsley Town Blvd
City
State
Zip
28273-3595
Phone Number
980-297-7733
Fax Number
980-297-7744
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0010-03995 (North Carolina)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.