Provider Demographics
NPI:1902398332
Name:DIAZ, KARINA (LVN)
Entity Type:Individual
Prefix:
First Name:KARINA
Middle Name:
Last Name:DIAZ
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3380 TIMBER VIEW DR APT 19201
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-1780
Mailing Address - Country:US
Mailing Address - Phone:210-961-1939
Mailing Address - Fax:
Practice Address - Street 1:3380 TIMBER VIEW DR APT 19201
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-1780
Practice Address - Country:US
Practice Address - Phone:210-961-1939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-01
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX340868164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse