Diaz, Elizabeth R

Diaz, Elizabeth R is an individual health care provider with primary practice located at 239 Cranston St , Providence RI 02907-2406. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Diaz, Elizabeth R can be contacted via phone (401) 444-0580.

Contact Information

Primary practice address
239 Cranston St Providence RI 02907-2406
Fax: (401) 444-0418
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X MW00050 Rhode Island

Profile Details

NPI number 1275515116
LBN Legal business name Diaz, Elizabeth R
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated May 13th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275515116 NPPES
Rhode Island MEDICAID 7007204

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