Healthcare Provider Details

I. General information

NPI: 1326927005
Provider Name (Legal Business Name): MANATSHITU DEBORAH MUBIAYI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1881 UNIVERSITY DR
VIRGINIA BEACH VA
23453-8083
US

IV. Provider business mailing address

4085 MIDDLETON LOOP APT 202
DUMFRIES VA
22025-2107
US

V. Phone/Fax

Practice location:
  • Phone: 757-683-4297
  • Fax: 757-683-5253
Mailing address:
  • Phone: 703-728-7026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001261663
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: