Individual provider · Type 1 NPI

Stephanie Davis Slater Diaz, CRNA

Critical Care Medicine Registered Nurse · Jamaica Plain, MA

NPI number 1790352243 Active

Practice location

1153 Centre St
Jamaica Plain, MA 02130-3446

Mailing address

567 Franklin St Apt 2
Cambridge, MA 02139-2923

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse Primary 163WC0200XRN2329699 (MA)

Critical Care Medicine Registered Nurse: Definition to come...

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About NPI 1790352243

Stephanie Davis Slater Diaz, CRNA's National Provider Identifier is 1790352243, issued on Jun 4, 2021. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Jamaica Plain, MA. The record was last updated on Dec 2, 2021.