Individual provider · Type 1 NPI
Diedra M. Ahlert, CPNP-PC
Nurse Practitioner · Alton, IL
Practice location
4 Memorial Dr Ste 110
Alton, IL 62002-6704
Fax (618) 433-6571
Mailing address
PO Box 959203
St. Louis, MO 63195-9203
Other practice locations
- 1320 Lexington Dr, Collinsville, IL 62234-4348 · (618) 444-3351
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209021680 (IL) |
| Pediatric Nurse Practitioner | 363LP0200X | 2020022571 (MO) |
| Pediatric Nurse Practitioner | 363LP0200X | 209.021680 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
Another provider at this address
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- Emily M. Cottrell, FNP-BCNurse Practitioner Alton, IL NPI 1295262459
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- Stephanie I. Smith, NPNurse Practitioner Alton, IL NPI 1467005009
About NPI 1508475294
Diedra M. Ahlert, CPNP-PC's National Provider Identifier is 1508475294, issued on Jul 28, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Alton, IL. The record was last updated on Nov 2, 2026.