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NPI Code Detail

MEDICARE: SANDRA DIAZ ARNP, FNP-BC

MEDICARE: SANDRA DIAZ ARNP, FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner2014012312FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396135844
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA DIAZ ARNP, FNP-BC
Provider Business Mailing Address
First Line : 439 S PLEASANT GROVE BLVD STE 3
Second Line :
City : PLEASANT GROVE
State : UT
Zip : 84062-3493
Country : US
Telephone Number : 800-640-3451
Fax Number :
Provider Business Practice Location Address
First Line : 8320 W SUNRISE BLVD STE 205
Second Line :
City : PLANTATION
State : FL
Zip : 33322-5432
Country : US
Telephone Number : 800-640-3451
Fax Number : 561-367-8257
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2015
Last Update Date : 05/08/2024

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Directions to “ SANDRA DIAZ ARNP, FNP-BC” Practice Location

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