Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Diane Roth, RN

Individual provider General Practice Registered Nurse · NPI 1790916864

Diane Roth, RN is a General Practice Registered Nurse in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2009
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1465 S Grand Blvd
Saint Louis, MO 63104-1003 Not confirmed with CMS for 17 years — call before visiting
Phone: (314) 268-2700
Fax: (314) 268-2798
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Registered Nurse (primary) Taxonomy 163WG0000X · Licence 066206 (MO)

Record details

NPI number1790916864
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedAugust 6, 2009
Last updated in NPPESAugust 6, 2009

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