Individual
MICHELLE DIEDERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
111 S GRANT AVE, COLUMBUS, OH 43215-4701
(614) 566-8648
(614) 566-8825
Mailing address
5450 FRANTZ RD STE 360, DUBLIN, OH 43016-4141
(614) 544-6366
(614) 544-6350
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN307507
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
NP11900
OH
Other
Enumeration date
09/14/2010
Last updated
01/25/2022
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