Individual
LAURA E. DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN-FNP
Contact information
Practice address
21 WALNUT BLVD STE 12&3, PETERSBURG, VA 23805-2101
(800) 683-8313
(502) 685-9855
Mailing address
5714 11TH ST N APT 10, ARLINGTON, VA 22205-2344
(703) 401-5413
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024176339
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30015751410001
—
VA
Enumeration date
05/15/2019
Last updated
02/02/2026
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