Individual provider · Type 1 NPI

Grethel Diaz, APRN11041379

Nurse Practitioner · Lakeland, FL

NPI number 1336085463 Active

Practice location

2024 Edgewood Dr S
Lakeland, FL 33803-3637

Fax (863) 232-4323

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN11041379 (FL)

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 1336085463

Grethel Diaz, APRN11041379's National Provider Identifier is 1336085463, issued on Apr 29, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lakeland, FL. The record was last updated on Apr 29, 2026.