Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANA MANIS FICK, PA
ActiveDIANA MANIS FICK, PA is a Surgical Physician Assistant healthcare provider located in CLOVIS, New Mexico. NPI 1528781655 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · CLOVIS, NM
Registration Details
- NPI Number
- 1528781655
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 23, 2022 (3.8921918556924 yrs)
- Last Updated
- Jan 9, 2026
- Licenses
-
PA2025-0155 (NM)PA2025-0155 (NM)
Practice Information
- Address
-
2421 W 21ST ST STE BGENERAL SURGERY - CLOVISCLOVIS, NM, 881012006Browse NM providers · Browse ZIP 88101
- Phone
- 5757697577
- Fax
- 5757427856
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Physician Assistant
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.