Gilsa Correa Diaz, RN
Individual provider Active NPI Registered Nurse · Hill Afb, UT
NPI 1295568756 · NPPES record last updated Aug 21, 2024
Key facts
- NPI
- 1295568756
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 12764193-3102 (UT)
- Practice address
- 7321 Balmer St BLDG 570
Hill Afb, UT 84056-5012 - Phone
- (801) 777-7027
- Fax
- (801) 586-7435
- NPI assigned
- Aug 21, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12764193-3102 | UT | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 12764193-3102 | UT | Yes |
Addresses
Primary practice location
7321 Balmer St BLDG 570
Hill Afb, UT 84056-5012
Mailing address
1633 24TH St
Ogden, UT 84401-3001
Phone (210) 241-6242
Other providers in Hill Afb, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.