Carol Lydia Wiediger
APRN | Nurse Practitioner - Psych/Mental Health | 37+ years Exp
3111 Electric Ave, Port Huron
Michigan, 48060-8127
810-985-8900
Carol Lydia Wiediger is a Port Huron, Michigan based nurse practitioner with 37 years of experience in Psych/Mental Health. She completed her graduation in 1988. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Carol Lydia Wiediger is 202201526NP-PP for Psych/Mental Health in Oregon. Her current practice location is 3111 Electric Ave, Port Huron. Patients can reach her at 810-985-8900. Carol Lydia Wiediger is APRN with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1033285242.
Carol Lydia Wiediger provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Carol Lydia Wiediger speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Carol Lydia Wiediger |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Credentials: | APRN |
| Experience: | 37+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1988 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 3111 Electric Ave, Port Huron,
Michigan, 48060-8127 |
| Phone: | 810-985-8900 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2567546773 |
| Enrollment ID: | I20200714001083 |
| NPI Number: | 1033285242 |
| NPI Enumeration Date: | 28 Nov, 2006 |
| NPI Last Update On: | 14 Nov, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Carol Lydia Wiediger are as mentioned below.
| License Number | Specialization | State | Status | |
| 202201526NP-PP | Psych/Mental Health | Oregon | Primary | |
| 4704367059 | Psych/Mental Health | Michigan | Secondary | |
| 403445 | Psych/Mental Health | New York | Secondary | |
| 000886 | Clinical Nurse Specialist | Connecticut | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Carol Lydia Wiediger is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| St Clair County Community Mental Health Authority (7416861984) | 39 |
| Legacy Clinics Llc (0244144004) | 590 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Carol Lydia Wiediger
500 Vine Street, Human Resources
Hartford, Connecticut |
| Zip: | 06112 |
| Phone Number: | 860-297-0905 |
| Fax Number: | 860-297-0914 |
Patients can reach Carol Lydia Wiediger at
3111 Electric Ave, Port Huron, Michigan or can
call to book an appointment on 810-985-8900.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.