| Mardy Lindt Fionne Diaz, | |
|
12742 Limonite Ave, Eastvale, CA 92880-9630 | |
| (951) 782-3818 | |
| (951) 371-6586 |
| Full Name | Mardy Lindt Fionne Diaz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 12742 Limonite Ave, Eastvale, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346707221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95031026 (California) | Secondary |
| 363L00000X | Nurse Practitioner | NP95031026 (California) | Primary |
| Entity Name | Advanced Dermatology & Skin Cancer Specialists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881023927 PECOS PAC ID: 3678702206 Enrollment ID: O20140131000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Mardy Lindt Fionne Diaz, 3660 Arlington Ave, Riverside, CA 92506-3987 Ph: () - | Mardy Lindt Fionne Diaz, 12742 Limonite Ave, Eastvale, CA 92880-9630 Ph: (951) 782-3818 |
Mr. Ronald Allan Ramos Torres, RN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5805 Larry Dean St, Eastvale, CA 92880 Phone: 909-342-8976 | |
Anglae B Ojeda, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12742 Limonite Ave, Eastvale, CA 92880 Phone: 951-739-2740 | |
Mr. Erik James Purcell, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7021 Barwick Ct, Eastvale, CA 92880 Phone: 909-260-8756 | |
Mr. Isagani Ignacio Marquez Jr., Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6615 Canter Cove Ct, Eastvale, CA 92880 Phone: 909-255-5348 | |
Mr. Jay Santillana Lardizabal, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6595 Cantata Dr, Eastvale, CA 92880 Phone: 951-987-1133 | |
Heather Jean Clifford, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14277 Grayling Dr, Eastvale, CA 92880 Phone: 714-376-3335 | |
Mrs. Olivia Anne Yance, RN,FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14220 Schleisman Rd, Eastvale, CA 92880 Phone: 951-340-0875 |