National Provider Identifier

Diana Holland Ibanez, ACNP-C

Diana Holland Ibanez, ACNP-C is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner in Rochester, NY and a listed phone number of (585) 922-4000.

NPI 1356212740Rochester, NYAcute Care Nurse Practitioner

Profile Overview

NPI
1356212740
Provider Type
Individual
Primary Specialty
Acute Care Nurse Practitioner
Enumeration Date
September 17, 2025
Last Updated
October 30, 2025

Practice Location

  • 1425 Portland Ave
  • Rochester, NY 14621-3011

Phone: (585) 922-4000

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Acute Care Nurse Practitioner (363LA2100X)
Full Record
NPI
1356212740
Entity Type
Individual
Last Name
Ibanez
First Name
Diana
Middle Name
Holland
Credential
ACNP-C
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Practice Street Address
1425 Portland Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3011
Practice Country
US
Practice Phone
(585) 922-4000
Enumeration Date
September 17, 2025
Last Updated
October 30, 2025
Sex
Female
Sole Proprietor
No
Certification Date
October 30, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Acute Care Nurse Practitioner (363LA2100X)