Individual provider · Type 1 NPI

Clorissa M. McEachern, CPNP-PC

Pediatric Nurse Practitioner · Gaylord, MI

NPI number 1508410747 Active

Practice location

829 N Center Ave Ste 230
Gaylord, MI 49735-1595

Fax (989) 731-7948

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X4704321562 (MI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1508410747

Clorissa M. McEachern, CPNP-PC's National Provider Identifier is 1508410747, issued on Jul 25, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Gaylord, MI. The record was last updated on Jun 18, 2025.