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Diana Patricia Garcia Nieves

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

701 Cooper Rd Ste 16, Voorhees, NJ 08043-8007

PECOS Enrollment

This provider is enrolled in PECOS as DIANA GARCIA NIEVES.

Based on the most recent information from CMS, provider Diana Patricia Garcia Nieves is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1417625096
Provider Type
Individual
Full Name
Garcia Nieves, Diana Patricia
Gender
Female

Sole Proprietor
No
Enumeration Date
8/31/2021
Last Updated
9/17/2021

Contact Information

Practice Location

701 Cooper Rd Ste 16, Voorhees, NJ 08043-8007

(856) 429-2224

Unlisted Fax

Mailing Location

1683 Washington Ave, Vineland, NJ 08361-8482

(732) 456-2930

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 26NJ01181500 New Jersey

Diana Patricia Garcia Nieves

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Ledgerwood, Courtney L

Mann, Norma

Lamorte, Taryn

Ayala, Gilda

Mathews, Shoba

Hopkins, Bridget Anne

Souza, Melissa F

Speechley, Nicole Sara

Sasso, Danielle Alyce

Lazarus, Euphemia Marlene Carolan