Preiss, Diana J.

Preiss, Diana J. is an individual health care provider with primary practice located at 456 N. New Ballas Rd. Suite 304, St. Louis MO 63141. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Preiss, Diana J. can be contacted via phone (314) 567-6868.

Contact Information

Primary practice address
456 N. New Ballas Rd. Suite 304 St. Louis MO 63141
Phone: (314) 567-6868
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 098418 Missouri

Profile Details

NPI number 1851485726
LBN Legal business name Preiss, Diana J.
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jan 28th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851485726 NPPES
Missouri MEDICAID 428381503

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