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Contact Information

DIANE D BLOCK, NP
1345 SMIZER MILL RD STE 1100
FENTON, MO63026-7305
 Phone: 636-496-5023
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DIANE D BLOCK · (Female)

NPI Number 1699158196
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 07/01/2015
Last updated 11/19/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2015013958
  • MO Other 2015013958 LICENSE
Hospital affiliation(s)
  • SSM ST CLARE HEALTH CENTER - (Acute Care)
    1015 BOWLES
    FENTON, MO 63026
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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