Provider Demographics
NPI:1063072734
Name:ARIBAL, IRENE JOY YOLA (MSN, APRN, NP-C)
Entity type:Individual
Prefix:
First Name:IRENE JOY
Middle Name:YOLA
Last Name:ARIBAL
Suffix:
Gender:F
Credentials:MSN, APRN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3803 BENEVENTO CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-3211
Mailing Address - Country:US
Mailing Address - Phone:407-493-5463
Mailing Address - Fax:
Practice Address - Street 1:3803 BENEVENTO CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-3211
Practice Address - Country:US
Practice Address - Phone:407-493-5463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-15
Last Update Date:2019-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX141010363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily