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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. DIEDRA M AHLERT, CPNP-PC

Active Sole Proprietor

MS. DIEDRA M AHLERT, CPNP-PC is a Pediatric Nurse Practitioner healthcare provider located in COLLINSVILLE, Illinois. NPI 1508475294 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · COLLINSVILLE, IL

Registration Details

NPI Number
1508475294
Provider Type
Individual
Gender
Female
NPI Issued
Jul 28, 2020 (6.0055631739858 yrs)
Last Updated
Jul 28, 2020
Licenses
209.021680 (IL)
2020022571 (MO)
Sole Proprietor
Yes

Practice Information

Address
1320 LEXINGTON DR
COLLINSVILLE, IL, 622344348
Browse IL providers · Browse ZIP 62234
Phone
6184443351
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
Additional Specialty
Pediatric Nurse Practitioner

Other Pediatric Nurse Practitioner Providers in COLLINSVILLE, IL

Name Credential NPI
REBECCA KATHRYN PHELPS CPNP 1881925337
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.