SARA DYANE DIAZ- INGRAM

BANNER URGENT CARE SERVICES LLC

Dr SARA DYANE DIAZ- INGRAM is a female medical professional, specializing in Nurse Practitioner. She graduated in 2019.

Contact

BANNER URGENT CARE SERVICES LLC

6702 W BETHANY HOME RD
SUITE 13 15
GLENDALE
AZ
853034402

Tel: 6234656345

SARA DYANE DIAZ- INGRAM Information

Npi 1225597727
Pac Id 2567798218
Professional Enrollment Id I20190801002756
Last Name DIAZ- INGRAM
First Name SARA
Middle Name DYANE
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2019
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BANNER URGENT CARE SERVICES LLC
Group Practice Pac Id 4284921610
Number Of Group Practice Members 182
Line 1 Street Address 6702 W BETHANY HOME RD
Line 2 Street Address SUITE 13 15
Marker Of Address Line 2 Suppression
City GLENDALE
State AZ
Zip Code 853034402
Phone Number 6234656345
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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