Provider Demographics
NPI:1326927005
Name:MUBIAYI, MANATSHITU DEBORAH
Entity type:Individual
Prefix:
First Name:MANATSHITU
Middle Name:DEBORAH
Last Name:MUBIAYI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21000 SOUTHBANK ST STE 106
Mailing Address - Street 2:BOX 1020
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-7242
Mailing Address - Country:US
Mailing Address - Phone:703-728-7026
Mailing Address - Fax:
Practice Address - Street 1:21000 SOUTHBANK ST STE 106
Practice Address - Street 2:BOX 1020
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-7242
Practice Address - Country:US
Practice Address - Phone:703-728-7026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001261663163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse