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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194722645 | NPPES |
Missouri | Other | 135330 | LICENSE |
Missouri | Other | 041321448 | LICENSE |
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