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Contact Information

MARISSA DIAZ, PA
22080 LA HWY 20
VACHERIE, LA70090
 Phone: 225-265-3061
 Fax: 225-265-3062
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MARISSA DIAZ · (Female)

NPI Number 1518346394
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 05/26/2015
Last updated 05/26/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 887
Hospital affiliation(s)
  • LADY OF THE SEA GENERAL HOSPITAL - (Critical Access)
    200 WEST 134TH PLACE
    CUT OFF, LA 70345
  • OCHSNER ST ANNE GENERAL HOSPITAL - (Critical Access)
    4608 HIGHWAY 1
    RACELAND, LA 70394
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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