MRS. NATALIA SHELLLIZA DIAZ MSN RN AGNP-C
NPI 1174876759
Nurse Practitioner - Adult Health in Brooklyn, NY
Active since October 19, 2012
About Mrs. Natalia Shellliza Diaz Msn Rn Agnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NATALIA SHELLLIZA DIAZ MSN RN AGNP-C (NPI 1174876759) is an individual adult health provider in Brooklyn, New York, licensed in New Jersey (26NJ15560500) and active in the NPI registry since October 2012. She maintains a secondary practice location in West Caldwell.
NPPES Registry Identity
NPI1174876759
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. NATALIA SHELLLIZA DIAZCredential: MSN RN AGNP-C
Location Address213 WASHINGTON AVEBrooklyn, NY 11205-3702
Mailing Address600 Abbott AveRidgefield, NJ 07657-1706 · (917) 407-6790
Phone(917) 407-6790
Sole ProprietorYes
Enumeration DateOctober 19, 2012
Last NPPES UpdateMay 28, 2026
NPPES CertifiedMay 28, 2026
✔ NPI 1174876759 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in NJ · 26NJ15560500✔ Licensed in NY · 312765-01
Also ListedRegistered NurseTaxonomy 163W00000X · License 26NR16361200 (NJ), 663077 (NY)
213 WASHINGTON AVE, Brooklyn, NY 11205
Secondary Practice Location 1
Location 1459 Passaic AveWest Caldwell, NJ 07006-7457 · Phone (973) 276-6700
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174876759, enumerated as an "individual" on October 19, 2012.
The provider is located at 213 WASHINGTON AVE BROOKLYN, NY 11205 and the phone number is (917) 407-6790.
Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.
