National Provider Identifier
Susan Marie Diaz, LPN
Susan Marie Diaz, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Williamsville, NY and a listed phone number of (716) 907-0905.
Profile Overview
- NPI
- 1104693993
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- December 11, 2023
- Last Updated
- December 11, 2023
Practice Location
- 136 Red Oak Dr
- Williamsville, NY 14221-2328
Phone: (716) 907-0905
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1104693993
- Entity Type
- Individual
- Last Name
- Diaz
- First Name
- Susan
- Middle Name
- Marie
- Credential
- LPN
- Mailing Street Address
- 136 Red Oak Dr
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-2328
- Mailing Country
- US
- Practice Street Address
- 136 Red Oak Dr
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-2328
- Practice Country
- US
- Practice Phone
- (716) 907-0905
- Enumeration Date
- December 11, 2023
- Last Updated
- December 11, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- December 11, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)