Provider Demographics
NPI:1659721645
Name:DIAZ, KIMBERLY READ (DNP, ARNP, NP-C)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:READ
Last Name:DIAZ
Suffix:
Gender:
Credentials:DNP, ARNP, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5470 BRYSON CT
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-6000
Mailing Address - Country:US
Mailing Address - Phone:239-451-9747
Mailing Address - Fax:239-372-0015
Practice Address - Street 1:5470 BRYSON CT
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-6000
Practice Address - Country:US
Practice Address - Phone:239-451-9747
Practice Address - Fax:239-372-0015
Is Sole Proprietor?:No
Enumeration Date:2016-06-21
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9318564363LP2300X
FLAPRN9318564363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care