Ilen Diaz, ARNP
Nurse Practitioner, Family in Miramar, FL. Individual provider (NPI-1).
NPI number1669953535
StatusActive
Last updated in NPPESAug 28, 2018
Details
- NPI
- 1669953535
- Entity type
- Individual (NPI-1)
- Name
- Ilen Diaz
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2018
- Last updated
- Aug 28, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | ARNP9350669 | FL | Yes |
Practice location
16514 Sw 19th StMiramar, FL 33027-4466
Phone 786-270-9389
Mailing address
16514 Sw 19th StMiramar, FL 33027-4466
Phone 786-270-9389
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