Diane Marie Bluhm, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Hersey, MI
NPI 1053427898 · NPPES record last updated Mar 17, 2022
Key facts
- NPI
- 1053427898
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704217098 (MI)
- Practice address
- 18046 Meceola Rd
Hersey, MI 49639-9623 - Phone
- (231) 357-6844
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704217098 | MI | Yes |
Addresses
Primary practice location
18046 Meceola Rd
Hersey, MI 49639-9623
Mailing address
18046 Meceola Rd
Hersey, MI 49639-9623
Phone (231) 357-6844
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 543427898 | Medicaid | MI |
Other providers in Hersey, MI
- Jennifer Carrie Benedict
- DLT Home Help Services
- Eagle Village Inc
- Ame Mae Edstrom
- Allyson Frederick
- Brett Grabiel
All providers in Hersey, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.