Individual
MARLIE RAEAN DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3724 128TH ST, LUBBOCK, TX 79423-7503
(806) 445-6311
Mailing address
3601 4TH ST, LUBBOCK, TX 79430-0002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1111971
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
1111971
TX
Other
Enumeration date
05/04/2023
Last updated
05/19/2025
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