Provider Demographics
NPI:1013431378
Name:DIAZ, BRISNA FRANCES (MSW)
Entity Type:Individual
Prefix:MRS
First Name:BRISNA
Middle Name:FRANCES
Last Name:DIAZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:BRISNA
Other - Middle Name:FRANCES
Other - Last Name:EGURROLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7056 E MUSTANG FLYER WAY
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85730-4982
Mailing Address - Country:US
Mailing Address - Phone:520-254-8005
Mailing Address - Fax:
Practice Address - Street 1:7056 E MUSTANG FLYER WAY
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85730-4982
Practice Address - Country:US
Practice Address - Phone:520-254-8005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker