Stierwalt, Diane

Stierwalt, Diane is an individual health care provider with primary practice located at 10012 Kennerly Rd Suite 403, Saint Louis MO 63128-2197. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Stierwalt, Diane can be contacted via phone (314) 880-6676.

Contact Information

Primary practice address
10012 Kennerly Rd Suite 403 Saint Louis MO 63128-2197
Phone: (314) 880-6676
Fax: (314) 842-4372
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 041321448 Illinois

Profile Details

NPI number 1194722645
LBN Legal business name Stierwalt, Diane
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Apr 7th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194722645 NPPES
Missouri Other 135330 LICENSE
Missouri Other 041321448 LICENSE

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