Individual provider · Type 1 NPI

Betsy Diaz, FNP-C

Nurse Practitioner · Shellman, GA

NPI number 1104356302 Active · reactivated Oct 18, 2021

Practice location

67 W Railroad St
Shellman, GA 39886-3100

Mailing address

1500 1st Ave N, Unit 3
Birmingham, AL 35203-1866

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAPRN11042326 (FL)
Nurse Practitioner Primary 363L00000XRN133959 (GA)
Family Nurse Practitioner 363LF0000X1-144325 (AL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104356302

Betsy Diaz, FNP-C's National Provider Identifier is 1104356302, issued on Jun 20, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Shellman, GA. The record was last updated on Sep 18, 2025.