Individual
JULIA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2011 W BROADWAY AVE, SULPHUR, OK 73086-4221
(580) 622-4482
(580) 297-9113
Mailing address
PO BOX 1109, SULPHUR, OK 73086-8109
(580) 622-4482
(580) 297-9113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
90481
OK
363LF0000X
Family Nurse Practitioner
Primary
94081
OK
Other
Enumeration date
10/20/2015
Last updated
10/22/2025
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