Provider Demographics
NPI:1295447688
Name:DIAZ, ERIN N (APRN)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:N
Last Name:DIAZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 MARGARET ST
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-5203
Mailing Address - Country:US
Mailing Address - Phone:813-654-2544
Mailing Address - Fax:813-653-4391
Practice Address - Street 1:1503 W REYNOLDS ST
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-4733
Practice Address - Country:US
Practice Address - Phone:813-514-4688
Practice Address - Fax:813-341-3288
Is Sole Proprietor?:No
Enumeration Date:2022-12-19
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11022332363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner