Provider Demographics
NPI:1295841484
Name:ARMSTRONG, DIANA E (APRN-BC)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:E
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 S NEW BALLAS RD STE 3005B
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8266
Mailing Address - Country:US
Mailing Address - Phone:314-567-5850
Mailing Address - Fax:314-567-9169
Practice Address - Street 1:621 S NEW BALLAS RD STE 3005B
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-8266
Practice Address - Country:US
Practice Address - Phone:314-567-5850
Practice Address - Fax:314-567-9169
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO100571363LA2200X
TXAP139760363LA2200X
MNCNP 4069363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOP94214Medicare UPIN