NPI 1114712916 · live from the CMS NPI Registry
Diego Duarte-Leal
Registered Nurse, Registered Nurse First Assistant in Montgomery Village, MD. National Provider Identifier 1114712916, active.
NPI record
| NPI | 1114712916 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Registered Nurse First Assistant 163WR0006X |
| Practice location | 18605 Walkers Choice Rd Apt 4, Montgomery Village, MD 20886 |
| Practice phone | 240-615-5945 |
| Enumerated | April 11, 2025 |
| Last updated | April 11, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Registered Nurse First Assistant primary | 163WR0006X | Md10273631547 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.