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MARY THERESE DIERICH GNP
NPI 1346345717
Nurse Practitioner - Gerontology in Minneapolis, MN

Active since September 13, 2006
516 DELAWARE ST SE, 3-150 PWB, CLINIC 3A, MINNEAPOLIS, MN 55455(612) 624-9499 Get Directions Write a Review

NPPES record last updated: March 24, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mary Therese Dierich Gnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY THERESE DIERICH GNP (NPI 1346345717) is an individual gerontology provider in Minneapolis, Minnesota, licensed in Minnesota (R 094653-3) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1346345717
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMARY THERESE DIERICHCredential: GNP
Location Address516 DELAWARE ST SE, 3-150 PWB, CLINIC 3AMinneapolis, MN 55455-0356
Mailing Address420 Delaware St Se, Mmc 381Minneapolis, MN 55455-0341 · (612) 624-9499
Phone(612) 624-9499
Sole ProprietorNo
Enumeration DateSeptember 13, 2006
Last NPPES UpdateMarch 24, 2009
✔ NPI 1346345717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MN · R 094653-3
516 DELAWARE ST SE, Minneapolis, MN 55455
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINS45397MN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA LYNN BERSHOW MD
Dermatology
516 DELAWARE ST SE, 4-240, PHILLIPS-WANGENSTEEN BLDG.
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-8625
UNIVERSITY OF MINNESOTA DEPARTMENT OF OPHTHALMOLOGY
Clinic/Center (Ophthalmologic Surgery)
516 DELAWARE ST SE, DEPARTMENT OF OPHTHALMOLOGY
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-4400
BROOKE KANEY MSW, LICSW
Social Worker (Clinical)
516 DELAWARE ST SE, CLINIC 1C
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-6191
HUDA SHEHEITLI M.D.
Ophthalmology
516 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 672-7422
JAMES EDWARD HINRICHS
Dentist (Periodontics)
516 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-3533
JOSE ERNESTO MOLINA MD
Surgery
516 DELAWARE ST SE, PWB THIRD FLOOR, CLINIC 3B
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-3600
DR. JEFFREY S MILLER MD
Internal Medicine (Hematology)
516 DELAWARE ST SE, SUITE 5-100, CLINIC 5B UNIVERSITY OF MINNESOTA PHYSICIA
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-2800
DR. MIRNA GEORGES BOUMITRI M.D.
Internal Medicine (Nephrology)
516 DELAWARE ST SE, CLINIC 2A
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-1687

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Dierich's NPI number?

The NPI number for Mary Dierich is 1346345717. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Mary Dierich located?

Mary Dierich practices at 516 Delaware St SE 3-150 Pwb, Clinic 3A, Minneapolis, MN 55455. The listed phone number is (612) 624-9499.

What is Mary Dierich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Mary Dierich was last updated on March 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.