Individual
DIANE STIERWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
10012 KENNERLY RD, SUITE 403, SAINT LOUIS, MO 63128-2197
(314) 880-6676
(314) 842-4372
Mailing address
10012 KENNERLY RD, SUITE 403, SAINT LOUIS, MO 63128-2197
(314) 880-6676
(314) 842-4372
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
041321448
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041321448
LICENSE
IL
01
—
135330
LICENSE
MO
Enumeration date
06/30/2005
Last updated
04/07/2016
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