Individual
MRS. NATALIA SHELLLIZA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN RN AGNP-C
Contact information
Practice address
213 WASHINGTON AVE, BROOKLYN, NY 11205-3702
(917) 407-6790
Mailing address
600 ABBOTT AVE, RIDGEFIELD, NJ 07657-1706
(917) 407-6790
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR16361200
NJ
163W00000X
Registered Nurse
663077
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ15560500
NJ
363LA2200X
Adult Health Nurse Practitioner
312765-01
NY
Other
Enumeration date
10/19/2012
Last updated
05/28/2026
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