Doctor Name: | DIANNA J. OHLMAN |
NPI Number: | 1952560260 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 124223 |
Business Practice Address: | 5770 Mexico Road Ste D St. Peters, MO - 633761637 |
Business Phone Number: | 6369260558 |
Business Fax Number: | |
Mailing Address: | 5770 Mexico Road, Ste D ST. PETERS |
State: | MO |
Postal Code: | 633761637 |
Phone Number: | 6369260558 |
Fax Number: | |
NPI Enumeration Date: | 06/03/2008 |
NPI Last Update Date: | 09/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SF0001X |
License Number: | 124223 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Family Health |
Taxonomy Definition: |