Whalio Doctors

NPI 1033285242

Carol Lydia Wiediger, APRN

Practitioner Psychiatric/Mental Health Nurse Practitioner Port Huron, MI

Practice location

Address
3111 Electric Ave, Port Huron, MI 48060-8127
Phone
(810) 985-8900
Mailing address
500 Vine Street Human Resources, Hartford, CT 06112

Registered specialties (4)

Psychiatric/Mental Health Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence 202201526NP-PP (OR)
Psychiatric/Mental Health Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence 4704367059 (MI)
Psychiatric/Mental Health Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence 403445 (NY)
Clinical Nurse Specialist
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364S00000X Licence 000886 (CT)

Registry record

NPI
1033285242
Entity type
Individual
Sex (as registered)
Female
NPI issued
28 Nov 2006
Record last updated
14 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.