Individual
JOHNNA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
630 E RIVER ST, ELYRIA, OH 44035-5902
(440) 949-9835
Mailing address
4900 WASHINGTON AVE, LORAIN, OH 44052-5722
(440) 949-9835
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0296750
OH
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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