MARY ELLEN DIAZ F.N.P. NPI 1205088754

NPI Information

NPI: 1205088754
Provider Name: MARY ELLEN DIAZ, F.N.P.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3141 IRVING BLVD STE 220
DALLAS, TX
ZIP 75247
Phone: (214) 630-1144
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Mary Ellen Diaz, F.N.P. is a family nurse practitioner in Dallas, TX. Mary Ellen Diaz, F.N.P. NPI is 1205088754. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3141 IRVING BLVD STE 220
DALLAS, TX
ZIP 75247-227
Phone: (214) 630-1144
Fax: (214) 637-3820

The NPI 1205088754 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/15/2008 and was last updated on 11/22/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	636355	TEXAS	No
2	363LF0000X	Nurse Practitioner	Family	AP107811	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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