Active NPIIndividual provider

Stephanie D Diaz, CRNA

Registered Nurse, Critical Care Medicine in Jamaica Plain, Massachusetts

NPI Number1790352243
Practice location
1153 Centre St, Jamaica Plain, MA 02130-3446
Fax
—
Last updated
December 2, 2021

Stephanie Davis Slater Diaz is a Registered Nurse, Critical Care Medicine based in Jamaica Plain, MA. Stephanie Davis Slater Diaz practices in Jamaica Plain, MA and has the professional credentials of CRNA. The NPI Number for Stephanie Davis Slater Diaz is 1790352243 and holds a License No. RN2329699 (MA). The current practice location address for Stephanie Davis Slater Diaz is 1153 Centre St, Jamaica Plain, MA 02130-3446 and can be reached out via phone at 617-983-7000.

Provider Profile Details

NPI Number
1790352243
Provider Name
Stephanie Davis Slater Diaz
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
1153 Centre St, Jamaica Plain, MA 02130-3446
Phone Number
617-983-7000
Primary Taxonomy
Registered Nurse, Critical Care Medicine · 163WC0200X
Sole Proprietor
No
Other Names
Stephanie Davis Slater (Former Name)
Provider Enumeration Date
June 4, 2021
Last Update Date
December 2, 2021
Certification Date
December 2, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1153 Centre St
Jamaica Plain, MA 02130-3446
Zip
02130-3446
Phone Number
617-983-7000
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
567 Franklin St Apt 2
Cambridge, MA 02139-2923
City
Cambridge
State
MA
Zip
02139-2923
Phone Number
845-901-9211

License Information

License Number
RN2329699
License State
MA
Taxonomy
Registered Nurse, Critical Care Medicine · 163WC0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stephanie D Diaz, CRNA?

The NPI number of Stephanie D Diaz, CRNA is 1790352243. It was assigned on June 4, 2021 and is currently active in the NPPES registry.

What is the specialty of Stephanie D Diaz, CRNA?

Stephanie D Diaz, CRNA is registered under the primary taxonomy Registered Nurse, Critical Care Medicine (code 163WC0200X), licensed in MA under license number RN2329699.

Where does Stephanie D Diaz, CRNA practice?

The practice location is 1153 Centre St, Jamaica Plain, MA 02130-3446. The office can be reached at 617-983-7000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790352243 directly on the NPPES registry website.

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