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Carol Lydia Wiediger, APRN
Psychiatric/Mental Health Nurse Practitioner in Port Huron, Michigan
NPI 1033285242

Carol Lydia Wiediger is a Psychiatric/Mental Health Nurse Practitioner based in Hartford, MI and is specialized in Psychiatric/Mental Health. Carol Lydia Wiediger practices in Port Huron, MI and has the professional credentials of APRN. The NPI Number for Carol Lydia Wiediger is 1033285242 and holds a License No. 4704367059 (Michigan).

The current practice location address for Carol Lydia Wiediger is 3111 Electric Ave, Port Huron, MI and can be reached out via phone at 810-985-8900.

Location: 3111 Electric Ave, Port Huron, MI, 06112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033285242
Provider Name
Carol Lydia Wiediger
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
3111 Electric Ave, Port Huron, MI, 06112
Phone Number
810-985-8900
Fax Number
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3111 Electric Ave
City
Port Huron
State
Michigan
Zip
48060-8127
Phone Number
810-985-8900
Fax Number
person
Provider Business Mailing Address Details
Address
3111 Electric Ave
City
Port Huron
State
Michigan
Zip
48060-8127
Phone Number
810-985-8900
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
403445 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
-
Taxonomy
364S00000X
License No.
4704367059 (Michigan)
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
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