Individual
MS. DIANE E DITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
400 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63110-1014
(314) 747-3000
(314) 747-4876
Mailing address
660 S EUCLID AVE, C B 8072, SAINT LOUIS, MO 63110-1010
(314) 747-3000
(314) 747-4876
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
141456
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000080509
—
MO
Enumeration date
07/14/2006
Last updated
11/08/2012
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