Healthcare Provider Details

I. General information

NPI: 1487567640
Provider Name (Legal Business Name): NURTURED MIND PSYCHIATRY- SARAH K. DIAZ, DNP, PMHNP-BC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1426B COMMONWEALTH DR
WILMINGTON NC
28403-0302
US

IV. Provider business mailing address

3237 GREY LEAF DR
WILMINGTON NC
28409-2519
US

V. Phone/Fax

Practice location:
  • Phone: 910-408-2068
  • Fax:
Mailing address:
  • Phone: 352-425-4366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. SARAH DIAZ
Title or Position: NURSE PRACTITIONER/OWNER
Credential: DNP, PMHNP
Phone: 352-425-4366