Carol L Wiediger, APRN
Nurse Practitioner, Psych/Mental Health in Port Huron, Michigan
1033285242- Practice location
- 3111 Electric Ave, Port Huron, MI 48060-8127
- Phone
- 810-985-8900
- Fax
- —
- Last updated
- November 14, 2023
Carol Lydia Wiediger is a Nurse Practitioner, Psych/Mental Health based in Port Huron, MI. 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 (MI). The current practice location address for Carol Lydia Wiediger is 3111 Electric Ave, Port Huron, MI 48060-8127 and can be reached out via phone at 810-985-8900.
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 48060-8127
- Phone Number
- 810-985-8900
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Other Names
- -- Carol Lydia Wiediger Aiston (Former Name)
- Provider Enumeration Date
- November 28, 2006
- Last Update Date
- November 14, 2023
- Certification Date
- November 14, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3111 Electric Ave
Port Huron, MI 48060-8127 - City
- Port Huron
- State
- Michigan
- Zip
- 48060-8127
- Phone Number
- 810-985-8900
Provider Business Mailing Address Details
- Address
- 500 Vine Street
Human Resources
Hartford, CT 06112 - City
- Hartford
- State
- CT
- Zip
- 06112
- Phone Number
- 860-297-0905
- Fax Number
- 860-297-0914
License Information
- License Number (1)
- 4704367059
- License State (1)
- MI
- Taxonomy (1)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- License Number (2)
- 403445
- License State (2)
- NY
- Taxonomy (2)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- License Number (3)
- 000886
- License State (3)
- CT
- Taxonomy (3)
- Clinical Nurse Specialist · 364S00000X
- License Number (4)
- 202201526NP-PP
- License State (4)
- OR
- Taxonomy (4)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Psych/Mental Health providers near Port Huron, MI
View all Nurse Practitioner, Psych/Mental Health providers in Port Huron →Frequently Asked Questions
What is the NPI number of Carol L Wiediger, APRN?
The NPI number of Carol L Wiediger, APRN is 1033285242. It was assigned on November 28, 2006 and is currently active in the NPPES registry.
What is the specialty of Carol L Wiediger, APRN?
Carol L Wiediger, APRN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MI under license number 4704367059.
Where does Carol L Wiediger, APRN practice?
The practice location is 3111 Electric Ave, Port Huron, MI 48060-8127. The office can be reached at 810-985-8900 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033285242 directly on the NPPES registry website.