Individual
TANIA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, PPCNP-BC
Contact information
Practice address
104 MEDSPRING DR, CLAYTON, NC 27520-9687
(919) 235-6535
(919) 231-0314
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(877) 498-4490
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5015622
NC
Other
Enumeration date
06/14/2018
Last updated
06/26/2025
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