Individual
YANIDIT DIAZ MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP-C
Contact information
Practice address
209 MAIN AVE S STE 115, NORTH BEND, WA 98045-8139
(425) 831-0777
Mailing address
209 MAIN AVE S STE 115, NORTH BEND, WA 98045-8139
(786) 365-0565
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60910482
WA
363LP2300X
Primary Care Nurse Practitioner
AP60910482
WA
Other
Enumeration date
12/06/2018
Last updated
09/14/2020
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