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Search › Wisconsin › Pediatric Nurse Practitioner

Marie Dietrich, CPNP

NPI 1932471018 · on the registry since 2012 · sole proprietor

Practice

Address
201 S Gammon Rd
Madison, WI 53717
Phone
(608) 663-6071
Fax
(608) 442-2196
Clinicians at this address
3

Registry record

Primary taxonomy
Pediatric Nurse Practitioner
363LP0200X
Also registered as
Pediatric Nurse Practitioner
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-02-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin