Individual provider · Type 1 NPI
Mary Therese Dierich, GNP
Gerontology Nurse Practitioner · Minneapolis, MN
NPI number
1346345717
Active
Practice location
516 Delaware St SE, 3-150 Pwb, Clinic 3A
Minneapolis, MN 55455-0356
Mailing address
420 Delaware St SE, Mmc 381
Minneapolis, MN 55455-0341
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | R 094653-3 (MN) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1346345717
Mary Therese Dierich, GNP's National Provider Identifier is 1346345717, issued on Sep 13, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Minneapolis, MN. The record was last updated on Mar 24, 2009.