Individual provider · Type 1 NPI

Ethan J. Diestler, CRNA

Certified Registered Nurse Anesthetist · St. Louis, MO

NPI number 1700732807 Active

Practice location

10010 Kennerly Rd
St. Louis, MO 63128-2106

Call (314) 525-1000 Map

Fax (636) 386-7810

Mailing address

PO Box 22407
St. Louis, MO 63126-0407

Other practice locations

  • 12345 W Bend Dr, St. Louis, MO 63128-2182 · (314) 722-2530

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X2026020569 (MO)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1700732807

Ethan J. Diestler, CRNA's National Provider Identifier is 1700732807, issued on Mar 10, 2026. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in St. Louis, MO. The record was last updated on May 14, 2026.