Provider Demographics
NPI:1952592602
Name:DIAZ, DAWN MARIE (WHNP OR CRNP)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:MARIE
Last Name:DIAZ
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Gender:F
Credentials:WHNP OR CRNP
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Mailing Address - Street 1:3102 EAST INDIAN SCHOOL PARK
Mailing Address - Street 2:SUITE 130
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-6872
Mailing Address - Country:US
Mailing Address - Phone:602-252-0202
Mailing Address - Fax:602-424-2053
Practice Address - Street 1:3102 EAST INDIAN SCHOOL PARK
Practice Address - Street 2:SUITE 130 GYNECOLOGIC SOLUTIONS
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-6872
Practice Address - Country:US
Practice Address - Phone:602-252-0202
Practice Address - Fax:602-424-2053
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZRN131993363LX0001X
AZAP2110363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology