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Diedra M Ahlert, CPNP-PC

Nurse Practitioner in Alton, IL. Individual provider (NPI-1).

NPI number1508475294
StatusActive
Last updated in NPPESNov 2, 2026

Details

NPI
1508475294
Entity type
Individual (NPI-1)
Name
Ms. Diedra M Ahlert
Credential
CPNP-PC
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 28, 2020
Certification date
Nov 2, 2026
Last updated
Nov 2, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner209021680ILYes
363LP0200X Nurse Practitioner, Pediatrics2020022571MO
363LP0200X Nurse Practitioner, Pediatrics209.021680IL

Practice location

4 Memorial Dr Ste 110
Alton, IL 62002-6704

Phone 618-433-6570 · Fax 618-433-6571

Mailing address

Po Box 959203
Saint Louis, MO 63195-9203

Phone 618-433-6570 · Fax 618-433-6571

Other practice locations

1320 Lexington Dr
Collinsville, IL 62234-4348

Phone 618-444-3351

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Other Nurse Practitioner providers in Alton, IL

All 26 Nurse Practitioner providers in Alton · All 1,393 providers in Alton

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