person
Clorissa Diedrich, CPNP-PC
Pediatric Nurse Practitioner in Gaylord, Michigan
NPI 1508410747

Clorissa Diedrich is a Pediatric Nurse Practitioner based in Gaylord, MI and is specialized in Pediatrics. Clorissa Diedrich practices in Gaylord, MI and has the professional credentials of CPNP-PC. The NPI Number for Clorissa Diedrich is 1508410747 and holds a License No. 4704321562 (Michigan).

The current practice location address for Clorissa Diedrich is 829 N Center Ave Ste 130, Gaylord, MI and can be reached out via phone at 989-731-7930 and via fax at 989-731-7948.

Location: 829 N Center Ave Ste 130, Gaylord, MI, 49735-1684
person
Provider Profile Details
NPI Number
1508410747
Provider Name
Clorissa Diedrich
Credential
CPNP-PC
Provider Entity Type
Individual
Gender
Female
Address
829 N Center Ave Ste 130, Gaylord, MI, 49735-1684
Phone Number
989-731-7930
Fax Number
989-731-7948
Provider Enumeration Date
07/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
829 N Center Ave Ste 130
City
State
Zip
49735-1684
Phone Number
989-731-7930
Fax Number
989-731-7948
person
Provider Business Mailing Address Details
Address
829 N Center Ave Ste 130
City
State
Zip
49735-1684
Phone Number
989-731-7930
Fax Number
989-731-7948
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
4704321562 (Michigan)
Definition
Definition to come...
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