Provider Demographics
NPI:1073981874
Name:DIAZ, FRANCISCA (WHNP)
Entity Type:Individual
Prefix:
First Name:FRANCISCA
Middle Name:
Last Name:DIAZ
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:FRANCISCA
Other - Middle Name:
Other - Last Name:FLETES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:WHNP
Mailing Address - Street 1:2545 W FRYE RD STE 9
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-6273
Mailing Address - Country:US
Mailing Address - Phone:480-505-4258
Mailing Address - Fax:480-275-8346
Practice Address - Street 1:6301 S MCCLINTOCK DR STE 215
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-3394
Practice Address - Country:US
Practice Address - Phone:480-820-6657
Practice Address - Fax:480-275-8346
Is Sole Proprietor?:No
Enumeration Date:2015-09-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP8013363LW0102X
AZRN144749363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ059223Medicaid
MF3624358OtherDEA