Provider Demographics
NPI:1790285575
Name:DIAZ PERAZA, YANET (RN)
Entity Type:Individual
Prefix:
First Name:YANET
Middle Name:
Last Name:DIAZ PERAZA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18619 MOSSHILL ESTATES LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-4605
Mailing Address - Country:US
Mailing Address - Phone:832-830-4580
Mailing Address - Fax:
Practice Address - Street 1:18619 MOSSHILL ESTATES LN
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-4605
Practice Address - Country:US
Practice Address - Phone:832-830-4580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-18
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX919950163W00000X
TX1110342363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse