Provider Demographics
NPI:1598173981
Name:DASHNAW, DIANA JACQUELINE (NNP-BC)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:JACQUELINE
Last Name:DASHNAW
Suffix:
Gender:F
Credentials:NNP-BC
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:JACQUELINE
Other - Last Name:RIOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6163 FRANKLIN DOVE AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-7711
Mailing Address - Country:US
Mailing Address - Phone:915-603-7735
Mailing Address - Fax:
Practice Address - Street 1:1900 N OREGON ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3351
Practice Address - Country:US
Practice Address - Phone:915-542-0755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-29
Last Update Date:2015-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP125666363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal