National Provider Identifier

Krista Diez, LPN

Krista Diez, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Youngstown, NY and a listed phone number of (716) 523-9613.

NPI 1578376992Youngstown, NYLicensed Practical Nurse

Profile Overview

NPI
1578376992
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 29, 2025
Last Updated
January 29, 2025

Practice Location

  • 222 Lake RD
  • Youngstown, NY 14174-1040

Phone: (716) 523-9613

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1578376992
Entity Type
Individual
Last Name
Diez
First Name
Krista
Credential
LPN
Mailing Street Address
222 Lake RD
Mailing City
Youngstown
Mailing State
NY
Mailing ZIP Code
14174-1040
Mailing Country
US
Mailing Phone
(716) 523-9613
Practice Street Address
222 Lake RD
Practice City
Youngstown
Practice State
NY
Practice ZIP Code
14174-1040
Practice Country
US
Practice Phone
(716) 523-9613
Enumeration Date
January 29, 2025
Last Updated
January 29, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
January 29, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)