Provider Demographics
NPI:1316571243
Name:DIAZ-AMARAN, CRISTNIEL (APRN-BC)
Entity type:Individual
Prefix:MS
First Name:CRISTNIEL
Middle Name:
Last Name:DIAZ-AMARAN
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11851 SW 235TH ST
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-6028
Mailing Address - Country:US
Mailing Address - Phone:786-853-0663
Mailing Address - Fax:
Practice Address - Street 1:11851 SW 235TH ST
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-6028
Practice Address - Country:US
Practice Address - Phone:786-853-0663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-29
Last Update Date:2024-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9466195163WC0400X
FLAPRN11035191363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAPRN11035191OtherFAMILY NURSE PRACTITIONER
FLAPRN11035191Medicaid
FLRN9466195OtherREGISTERED NURSE