Individual
MS. DIANA J. PREISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
456 N. NEW BALLAS RD., SUITE 304, ST. LOUIS, MO 63141
(314) 567-6868
Mailing address
456 N. NEW BALLAS RD., SUITE 304, ST. LOUIS, MO 63141
(314) 921-4699
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
098418
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428381503
—
MO
Enumeration date
10/03/2006
Last updated
01/28/2015
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