Brenda Marie Diaz, is a
Licensed Practical Nurse based in Evensville, Tennessee. Brenda Marie Diaz is licensed to practice in Tennessee (license number LPN0000094744) and her current practice location is
334 Eagle Ln, Evensville, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(423) 775-7819.
NPI number for Brenda Marie Diaz is 1003485632 and her current mailing address is 334 Eagle Ln, Evensville, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003485632.
Provider's Profile
| Full Name | Brenda Marie Diaz |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 334 Eagle Ln, Evensville, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1003485632
- Provider Enumeration Date: 06/18/2021
- Last Update Date: 06/18/2021
Medical Identifiers
Medical identifiers for Brenda Marie Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003485632 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | LPN0000094744 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brenda Marie Diaz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brenda Marie Diaz,
334 Eagle Ln,
Evensville, TN 37332
Ph: (423) 775-7819 | Brenda Marie Diaz,
334 Eagle Ln,
Evensville, TN 37332
Ph: (423) 775-7819 |
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