Guadalupe Diaz, LPN
Licensed Practical Nurse in Staten Island, NY. Individual provider (NPI-1).
NPI number1982116257
StatusActive
Last updated in NPPESOct 26, 2017
Details
- NPI
- 1982116257
- Entity type
- Individual (NPI-1)
- Name
- Guadalupe Diaz
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 26, 2017
- Last updated
- Oct 26, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 329473 | NY | Yes |
Practice location
1477 Hylan BlvdStaten Island, NY 10305-1906
Phone 718-979-6900 · Fax 718-979-6940
Mailing address
1477 Hylan BlvdStaten Island, NY 10305-1906
Phone 718-979-6900 · Fax 718-979-6940
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