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NPI Code Detail

MEDICARE: DIAO NP PLLC

MEDICARE: DIAO NP PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse Practitioner
2363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1780205823
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIAO NP PLLC
Provider Business Mailing Address
First Line : 8972 FRASURE FALLS AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89178-7215
Country : US
Telephone Number : 702-768-1109
Fax Number :
Provider Business Practice Location Address
First Line : 8972 FRASURE FALLS AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89178-7215
Country : US
Telephone Number : 702-768-1109
Fax Number :
Authorized Official
Title or Position : NURSE PRACTITIONER
Name : MARIA ZARINA DIAO
Credential :
Telephone Number : 702-768-1109
Provider Enumeration Date : 04/29/2020
Last Update Date : 04/29/2020

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