Individual
ANGELIA DAWN DIAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, APRN
Contact information
Practice address
119 W MAIN ST, HOMINY, OK 74035-1031
(918) 885-4640
(918) 885-4644
Mailing address
212 N MAIN ST, FAIRFAX, OK 74637-3023
(918) 642-3100
(918) 642-5639
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
106855
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200790630A
—
OK
Enumeration date
06/19/2018
Last updated
03/17/2026
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