Healthcare Provider Details

I. General information

NPI: 1447976824
Provider Name (Legal Business Name): VICTORIA DIAZ WELLNESS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2022
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5909 NW EXPRESSWAY
OKLAHOMA CITY OK
73132-5161
US

IV. Provider business mailing address

5909 NW EXPRESSWAY
OKLAHOMA CITY OK
73132-5161
US

V. Phone/Fax

Practice location:
  • Phone: 405-662-0035
  • Fax:
Mailing address:
  • Phone: 405-662-0035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: