Healthcare Provider Details

I. General information

NPI: 1598173981
Provider Name (Legal Business Name): DIANA JACQUELINE DASHNAW NNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DIANA JACQUELINE RIOS

II. Dates (important events)

Enumeration Date: 07/29/2014
Last Update Date: 11/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 N OREGON ST
EL PASO TX
79902-3351
US

IV. Provider business mailing address

6163 FRANKLIN DOVE AVE
EL PASO TX
79912-7711
US

V. Phone/Fax

Practice location:
  • Phone: 915-542-0755
  • Fax:
Mailing address:
  • Phone: 915-603-7735
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberAP125666
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: