Individual provider · Type 1 NPI

Diana Holland Ibanez, ACNP-C

Acute Care Nurse Practitioner · Rochester, NY

NPI number 1356212740 Active

Practice location

1425 Portland Ave
Rochester, NY 14621-3011

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X433457 (NY)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1356212740

Diana Holland Ibanez, ACNP-C's National Provider Identifier is 1356212740, issued on Sep 17, 2025. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Rochester, NY. The record was last updated on Oct 30, 2025.