Healthcare Provider Details

I. General information

NPI: 1811819949
Provider Name (Legal Business Name): DIANA YVONNE WORKMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8645 SHERWOOD PARK DR
LAS VEGAS NV
89131-1762
US

IV. Provider business mailing address

8645 SHERWOOD PARK DR
LAS VEGAS NV
89131-1762
US

V. Phone/Fax

Practice location:
  • Phone: 702-388-8899
  • Fax: 702-388-2966
Mailing address:
  • Phone: 702-388-8899
  • Fax: 702-388-2966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: