Individual
AMY A DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 UNIVERSITY CIR, TURLOCK, CA 95382-3200
(209) 664-6545
Mailing address
1 UNIVERSITY CIR, TURLOCK, CA 95382-3200
(209) 664-6545
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
825667
CA
163WP2201X
Ambulatory Care Registered Nurse
Primary
825664
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B8072743
BOARD OF REGISTERED NURSING
CA
Enumeration date
09/18/2018
Last updated
09/18/2018
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