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Contact Information

AMY M DIAZ
3509 E 29TH ST
DES MOINES, IA50317-4253
 Phone: 515-248-1600
 Fax: 515-248-1610
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for AMY M DIAZ · (Female)

NPI Number 1588241384
Status Active
Credentials
Entity Individual
Enumeration date 03/26/2021
Last updated 03/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IA License # A161674
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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