| Doctor Name: | MRS. DIANA VERDUGO |
| NPI Number: | 1003288945 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | AP8143 |
| Business Practice Address: | 620 N Craycroft Rd Tucson, AZ - 857111448 |
| Business Phone Number: | 5205198550 |
| Business Fax Number: | 5207473269 |
| Mailing Address: | 82 S Stone Ave, TUCSON |
| State: | AZ |
| Postal Code: | 857011713 |
| Phone Number: | 5207923293 |
| Fax Number: | 5207924336 |
| NPI Enumeration Date: | 10/29/2015 |
| NPI Last Update Date: | 10/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP8143 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |