AWILDA DIAZ
AWILDA D. GRILLO · Nurse Practitioner (Adult Health)

Address: 332 E 30th St, New York, NY 10016-8327

AWILDA DIAZ (NPI# 1942883335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942883335
Entity Type Individual
Full Name AWILDA DIAZ
Other Name AWILDA D. GRILLO (Professional Name)
Gender Female
Credential NP
Other Credential NP
Practice Address 332 E 30th St
New York
NY 10016-8327
Practice Telephone 2127793988
Mailing Address 332 E 30th St
New York
NY 10016-8327
Mailing Telephone 2127793988
Certification Date 2021-05-03
Enumeration Date 2021-05-03
Last Update Date 2021-05-03
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
F310233-01 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 332 E 30TH ST
City NEW YORK
State NY
Zip Code 10016-8327

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10016

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.