Individual
ELIZABETH R DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
239 CRANSTON ST, PROVIDENCE, RI 02907-2406
(401) 444-0580
(401) 444-0418
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
(401) 444-0468
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
MW00050
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7007204
—
RI
Enumeration date
11/16/2005
Last updated
05/13/2008
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