Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | AP8013 | AZ |
N | 363LW0102X | Nurse Practitioner - Women's Health | RN144749 | AZ |
NPI | 1073981874 |
---|---|
Provider Name | Francisca Diaz |
First Address | Chandler, AZ 85224-6273 |
Second Address | Tempe, AZ 85283-3394 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2015 |
Last Update Date | 11/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
059223 | (05) | AZ |
MF3624358 | DEA (01) |