Diaz, Judith Lynn

Diaz, Judith Lynn is an sole proprietor health care provider with primary practice located at 5134 Meadow Way , Banning CA 92220-3335. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Diaz, Judith Lynn can be contacted via phone (951) 250-5007.

Contact Information

Primary practice address
5134 Meadow Way Banning CA 92220-3335
Phone: (951) 250-5007
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 54007 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95000797 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 54007 California

Profile Details

NPI number 1841610219
LBN Legal business name Diaz, Judith Lynn
Credentials AMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2014
Last updated Feb 18th, 2021 - about 3 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.

Request for update

Popular Providers