NPI 1255895710 · live from the CMS NPI Registry
Latane Diaz, RN
Registered Nurse, Psych/Mental Health, Adult in Augusta, GA. National Provider Identifier 1255895710, active.
NPI record
| NPI | 1255895710 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Psych/Mental Health, Adult 163WP0809X |
| Practice location | 597 Brigham Trl, Augusta, GA 30909 |
| Practice phone | 706-288-9256 |
| Enumerated | January 29, 2019 |
| Last updated | January 29, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult primary | 163WP0809X | 21130 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.