Diaz De Leon, Angela

Diaz De Leon, Angela is an individual health care provider with primary practice located at 1805 Williamson Ct , Brentwood TN 37027-8164. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Diaz De Leon, Angela can be contacted via phone (615) 454-6919.

Contact Information

Primary practice address
1805 Williamson Ct Brentwood TN 37027-8164
Phone: (615) 454-6919
Fax: (615) 331-3859
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9109933 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3668 Tennessee

Profile Details

NPI number 1821540683
LBN Legal business name Diaz De Leon, Angela
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2016
Last updated Jan 27th, 2021 - about 5 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 1821540683 NPPES
Tennessee MEDICAID Q053348

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