Provider Demographics
NPI:1245992270
Name:COATES, DIONA (REGISTERED NURSE)
Entity type:Individual
Prefix:MRS
First Name:DIONA
Middle Name:
Last Name:COATES
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16747 STANFORD PLACE DR
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63034-3214
Mailing Address - Country:US
Mailing Address - Phone:314-363-4010
Mailing Address - Fax:
Practice Address - Street 1:16747 STANFORD PLACE DR
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63034-3214
Practice Address - Country:US
Practice Address - Phone:314-363-4010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-07
Last Update Date:2021-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016009684163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse