Individual
JOANNA ANDREA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5023
(804) 828-5060
Mailing address
401 CHAPMAN ST, ASHLAND, VA 23005-1101
(804) 475-9621
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001267072
VA
363LF0000X
Family Nurse Practitioner
Primary
002418149
VA
Other
Enumeration date
04/24/2021
Last updated
06/21/2021
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