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NPI Code Detail

MEDICARE: LIZETE DIAZ PMHNP

MEDICARE: LIZETE DIAZ PMHNP
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
12084P0805XGeriatric Psychiatry Physician220014AZ
22084P0804XChild & Adolescent Psychiatry Physician220014AZ
32084P0802XAddiction Psychiatry Physician220014AZ
4363LP0808XPsychiatric/Mental Health Nurse Practitioner220014AZ
5364SP0808XPsychiatric/Mental Health Clinical Nurse Specialist220014AZ
62084P0800XPsychiatry Physician220014AZ

General Provider Information

NPI Number : 1598341877
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIZETE DIAZ PMHNP
Provider Business Mailing Address
First Line : 11968 W RIO VISTA LN
Second Line :
City : AVONDALE
State : AZ
Zip : 85323-7726
Country : US
Telephone Number : 505-948-6647
Fax Number :
Provider Business Practice Location Address
First Line : 6677 W THUNDERBIRD RD STE I164
Second Line :
City : GLENDALE
State : AZ
Zip : 85306-3762
Country : US
Telephone Number : 623-878-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2021
Last Update Date : 02/02/2026

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Directions to “ LIZETE DIAZ PMHNP” Practice Location

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