Individual
DAYANNA GONCALVES DIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
657 E 233RD ST, BRONX, NY 10466-2801
(918) 378-4359
Mailing address
3681 E 49TH PL, TULSA, OK 74135-3105
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201825
OK
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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