Individual provider · Type 1 NPI
Carol Lydia Wiediger, APRN
Psychiatric/Mental Health Nurse Practitioner · Port Huron, MI
NPI number
1033285242
Active
Practice location
3111 Electric Ave
Port Huron, MI 48060-8127
Mailing address
500 Vine Street, Human Resources
Hartford, CT 06112
Other practice locations
- 500 Vine Street, Capitol Region Mental Health Center, Hartford, CT 06112 · (860) 297-0905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4704367059 (MI) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 403445 (NY) |
| Clinical Nurse Specialist | 364S00000X | 000886 (CT) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 202201526NP-PP (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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- Helen Birkbeck, APRNPsychiatric/Mental Health Nurse Practitioner Port Huron, MI NPI 1518037860
- Lauren Fanion, NPPsychiatric/Mental Health Nurse Practitioner Port Huron, MI NPI 1538790373
- Madison Dillon, PMHNPPsychiatric/Mental Health Nurse Practitioner Port Huron, MI NPI 1619740982
- Shatoria BatesPsychiatric/Mental Health Nurse Practitioner Port Huron, MI NPI 1821977307
- Eddia Marie McDade, PhD, PMHNP, RNPsychiatric/Mental Health Nurse Practitioner Port Huron, MI NPI 1942685607
About NPI 1033285242
Carol Lydia Wiediger, APRN's National Provider Identifier is 1033285242, issued on Nov 28, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Port Huron, MI. The record was last updated on Nov 14, 2023.