Individual
MARELYS DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(305) 495-0692
Mailing address
10490 NW 133RD ST, HIALEAH, FL 33018-1125
(305) 495-0692
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9301730
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9301730
FL
Other
Enumeration date
05/28/2014
Last updated
09/15/2020
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