Individual
DIANE DAWNE BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
111 S. MERAMEC, CLAYTON, MO 63105-1711
(314) 615-7800
(314) 615-8303
Mailing address
111 S. MERAMEC, CLAYTON, MO 63105-1711
(314) 615-7800
(314) 615-8303
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
149461
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
436003242
ST. LOUIS COUNTY GOVERNMENT DEPARTMENT OF HEALTH
MO
Enumeration date
12/21/2010
Last updated
12/21/2010
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