| Amy Marie Diaz, RN, ARNP, FNP-C | |
|
615 Lilly Rd Ne Ste 220, Pmg Sw Wa Neurosurgery, Olympia, WA 98506-5137 | |
| (360) 486-6150 | |
| (360) 486-6155 |
| Full Name | Amy Marie Diaz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 615 Lilly Rd Ne Ste 220, Olympia, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083952527 | NPI | - | NPPES |
| 2024514 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | AP60318377 (Washington) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP 60318377 (Washington) | Primary |
| Entity Name | Franciscan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
| Entity Name | Seva Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679264014 PECOS PAC ID: 0547621708 Enrollment ID: O20230803002822 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Marie Diaz, RN, ARNP, FNP-C Po Box 3360, Portland, OR 97208-3360 Ph: () - | Amy Marie Diaz, RN, ARNP, FNP-C 615 Lilly Rd Ne Ste 220, Pmg Sw Wa Neurosurgery, Olympia, WA 98506-5137 Ph: (360) 486-6150 |
Karen Yepez, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Lilly Rd Ne Ste 201, Olympia, WA 98506 Phone: 360-413-8272 Fax: 360-413-8878 | |
Sydney Pfefer, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3620 Ensign Rd Ne Ste B, Olympia, WA 98506 Phone: 360-884-0052 | |
Czarina Urani Darden, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3525 Ensign Rd Ne Ste B, Olympia, WA 98506 Phone: 253-572-7320 | |
Ms. Melinda Anne Harris-moulton, MSN, ARNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5201 Dolphin Ln Nw, Olympia, WA 98502 Phone: 360-866-8143 | |
Katelin Petrin, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3434 12th Ave Ne, Olympia, WA 98506 Phone: 360-413-8470 Fax: 360-413-8490 | |
Michelle Jennings Hood, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3920 Capital Mall Dr Sw Ste 400, Olympia, WA 98502 Phone: 360-705-1259 | |
Caitlin R Rabey, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3901 Capital Mall Dr Sw, Olympia, WA 98502 Phone: 360-709-6230 |