Individual
DIANE M RICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(314) 996-5000
Mailing address
1836 LACKLAND HILL PKWY, ATTN: CREDENTIALING, SAINT LOUIS, MO 63146-3572
(314) 989-0300
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
066490
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430021329
RAILROAD MEDICARE
MO
05
—
912771318
—
MO
Enumeration date
05/08/2006
Last updated
06/06/2024
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