Provider Demographics
NPI:1164796827
Name:SCHULER, DIANA L (CRNA)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:L
Last Name:SCHULER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:L
Other - Last Name:ROBERTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:7416 CREEK RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:EDWARDSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62025-7047
Mailing Address - Country:US
Mailing Address - Phone:618-967-4578
Mailing Address - Fax:
Practice Address - Street 1:7416 CREEK RIDGE LN
Practice Address - Street 2:
Practice Address - City:EDWARDSVILLE
Practice Address - State:IL
Practice Address - Zip Code:62025-7047
Practice Address - Country:US
Practice Address - Phone:618-967-4578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-28
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209009396367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL041356006OtherLIC
MO200700752OtherLIC
IL209009396OtherLIC