Individual
MRS. ASHLEY ANN DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-2011
Mailing address
1550 BROADSTONE PKWY APT 2127, FOLSOM, CA 95630-6695
(775) 225-8826
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
95192801
CA
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
95015631
CA
Other
Enumeration date
06/29/2020
Last updated
11/30/2020
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