Individual
LEANNA KRISTIAN DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
1601 E YANDELL DR STE B, EL PASO, TX 79902-5677
(915) 747-3510
Mailing address
1601 E YANDELL DR STE B, EL PASO, TX 79902-5677
(915) 747-3510
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
946745
TX
163WP0808X
Psychiatric/Mental Health Registered Nurse
946745
TX
164X00000X
Licensed Vocational Nurse
323284
TX
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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