Diaz, Amy Marie

Diaz, Amy Marie is an individual health care provider with primary practice located at 615 Lilly Rd Ne Ste 220 Pmg Sw Wa Neurosurgery, Olympia WA 98506-5137. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Diaz, Amy Marie can be contacted via phone (360) 486-6150.

Contact Information

Primary practice address
615 Lilly Rd Ne Ste 220 Pmg Sw Wa Neurosurgery Olympia WA 98506-5137
Phone: (360) 486-6150
Fax: (360) 486-6155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP60318377 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP 60318377 Washington

Profile Details

NPI number 1083952527
LBN Legal business name Diaz, Amy Marie
Credentials RN, ARNP, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2013
Last updated Jan 5th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083952527 NPPES
Washington MEDICAID 2024514

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