Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHANNA VAUGHAN DIAZ, D.O.
ActiveSleep Medicine (Psychiatry) · ALBUQUERQUE, NM
Registration Details
- NPI Number
- 1376869123
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 19, 2010 (16.006246722027 yrs)
- Last Updated
- Feb 13, 2025
- Licenses
-
A-1690-12 (NM)A-1690-12 (NM)
Practice Information
- Address
-
1101 MEDICAL ARTS AVE NE BLDG 2ALBUQUERQUE, NM, 871022723Browse NM providers · Browse ZIP 87102
- Phone
- 5052726110
- Fax
- 5052726112
- Primary Specialty
-
Sleep Medicine (Psychiatry)
2084S0012X
- Additional Specialty
- Psychiatry
Other Sleep Medicine (Psychiatry) Providers in ALBUQUERQUE, NM
| Name | Credential | NPI |
|---|---|---|
| DR. FOUAD KHLIL REDA | MD | 1487775433 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.