GLEN DIAZ ARNP NPI 1780773952

NPI Information

NPI: 1780773952
Provider Name: GLEN DIAZ, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
500 E ROBINSON ST
SUITE 2600
NORMAN, OK
ZIP 73071
Phone: (405) 364-6432
Get Directions

Glen Diaz, ARNP is a family nurse practitioner in Norman, OK. Glen Diaz, ARNP NPI is 1780773952. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

500 E ROBINSON ST
SUITE 2600
NORMAN, OK
ZIP 73071-697
Phone: (405) 364-6432
Fax: (405) 364-0090

The enumeration date for this NPI number is 10/12/2006 and was last updated on 12/6/2012.

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	R0068622	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200053800A	MEDICAID	OKLAHOMA

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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