Dierich, Mary Therese
Dierich, Mary Therese is an individual health care provider with primary practice located at 516 Delaware St Se 3-150 Pwb, Clinic 3A, Minneapolis MN 55455-0356. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Dierich, Mary Therese can be contacted via phone (612) 624-9499.Contact Information
Primary practice address
516 Delaware St Se 3-150 Pwb, Clinic 3A
Minneapolis MN 55455-0356
Phone: (612) 624-9499
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | R 094653-3 | Minnesota |
Profile Details
| NPI number | 1346345717 |
|---|---|
| LBN Legal business name | Dierich, Mary Therese |
| Credentials | Gerontological Nurse Practitioner (GNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Mar 24th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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