Provider Demographics
NPI:1487011532
Name:PELAEZ, YSABEL (CRNA)
Entity type:Individual
Prefix:
First Name:YSABEL
Middle Name:
Last Name:PELAEZ
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8225 ADENLEE AVE
Mailing Address - Street 2:APT 10
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4825
Mailing Address - Country:US
Mailing Address - Phone:571-242-2798
Mailing Address - Fax:
Practice Address - Street 1:8225 ADENLEE AVE
Practice Address - Street 2:APT 10
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4825
Practice Address - Country:US
Practice Address - Phone:571-242-2798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-20
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR221034367500000X
VA109029367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered