NPI 1003790908

Wisal Ibraheem

Practitioner Home Health Aide Suffolk, VA

Practice location

Address: 522 Kilby Ave, Suffolk, VA 23434-5940
Phone: (860) 625-2339

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

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Registry record

NPI: 1003790908
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Aug 2025
Record last updated: 4 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.