Diaz, Shanna Vaughan

Diaz, Shanna Vaughan is an individual health care provider with primary practice located at 1101 Medical Arts Ave Ne Bldg 2 , Albuquerque NM 87102-2723. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is her primary health care specialty. Diaz, Shanna Vaughan can be contacted via phone (505) 272-6110.

Contact Information

Primary practice address
1101 Medical Arts Ave Ne Bldg 2 Albuquerque NM 87102-2723
Phone: (505) 272-6110
Fax: (505) 272-6112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A-1690-12 New Mexico
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X A-1690-12 New Mexico

Profile Details

NPI number 1376869123
LBN Legal business name Diaz, Shanna Vaughan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2010
Last updated Oct 27th, 2023 - about last year

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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