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General NPI Number Information
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NPI Number | 1740140797
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Entity Type | Organization
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Legal Business Name | SELENA DIAZ, PMHNP, PLLC
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 991 SUNCREST TERRACE
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City | COLLEGE PLACE
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State | WA
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Zip | 99324
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Country | US
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Telephone | 509-781-2554
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Fax | 888-979-6139
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Provider Business Mailing Address
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Address Line | 1644 PLAZA WAY # 417
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City | WALLA WALLA
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State | WA
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Zip | 99362-4325
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Country | US
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Telephone | 509-781-2554
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Fax | 888-979-6139
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Authorized Official
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Title or Position | OWNER & PMHNP-BC
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Name | SELENA DIAZ
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Credential | PMHNP-BC, ARNP
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Telephone | 509-781-2554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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