Individual
DIANE LYNN CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 454-8134
Mailing address
1500 VALLEY FORGE DR, COLLINSVILLE, IL 62234-4318
(618) 344-7770
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN084174
MO
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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