Clorissa Diedrich, CPNP-PC - Nurse Practitioner in Gaylord, MI

Clorissa Diedrich, CPNP-PC is a Nurse Practitioner - Pediatrics based in Gaylord, Michigan. Clorissa Diedrich is licensed to practice in Michigan (license number 4704321562) and her current practice location is 829 N Center Ave Ste 130, Gaylord, Michigan. She can be reached at her office (for appointments etc.) via phone at (989) 731-7930.

NPI number for Clorissa Diedrich is 1508410747 and her current mailing address is 829 N Center Ave Ste 130, Gaylord, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508410747.

Contact Information

Clorissa Diedrich, CPNP-PC
829 N Center Ave Ste 130,
Gaylord, MI 49735-1684
(989) 731-7930
(989) 731-7948

Map and Direction




Provider's Profile

Full NameClorissa Diedrich
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location829 N Center Ave Ste 130, Gaylord, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1508410747
  • Provider Enumeration Date: 07/25/2019
  • Last Update Date: 08/08/2019

Medical Identifiers

Medical identifiers for Clorissa Diedrich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508410747NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 4704321562 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clorissa Diedrich is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Clorissa Diedrich, CPNP-PC
829 N Center Ave Ste 130,
Gaylord, MI 49735-1684

Ph: (517) 240-3211
Clorissa Diedrich, CPNP-PC
829 N Center Ave Ste 130,
Gaylord, MI 49735-1684

Ph: (989) 731-7930

Reviews and Comments


Nurse Practitioner Nurses in Gaylord, MI

Aaron Joseph Nolan, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 825 N Center Ave, Gaylord, MI 49735
Phone: 989-731-2100    Fax: 801-740-2847
Kayla Sherman, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 994 N Center Ave, Gaylord, MI 49735
Phone: 989-732-3450    Fax: 989-731-4513
Lauren Atkinson, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 829 N Center Ave Ste 210, Gaylord, MI 49735
Phone: 989-731-7860    Fax: 989-731-7833
Rose Mary Noetzel Spellman,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 829 N Center Ave Ste 140, Gaylord, MI 49735
Phone: 989-731-7870    
Kathleen Marie Pawlanta, F.N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 829 N Center Ave, Suite 210, Gaylord, MI 49735
Phone: 989-731-7860    Fax: 989-731-7954
Ashley A Groters, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 652 N Otsego Ave, Gaylord, MI 49735
Phone: 989-732-3529    Fax: 989-732-7865
Mrs. Carol Linn Edwards, F.N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 806 S Otsego Ave, Gaylord, MI 49735
Phone: 989-732-7525    

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