Individual
MARIA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
29 JOSEPHINE ST STE 3, SPRINGFIELD, MA 01108-3323
(413) 262-9890
Mailing address
29 JOSEPHINE ST, SPRINGFIELD, MA 01108-3323
(413) 262-9890
(413) 356-6725
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2261021
MA
363LF0000X
Family Nurse Practitioner
NP2261021
MA
363LP2300X
Primary Care Nurse Practitioner
Primary
NP2261021
MA
Other
Enumeration date
04/08/2014
Last updated
08/09/2024
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