Search › Wisconsin › 363LP0200X
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
- 363LP0200X
363LP0200X
- Also registered as
- 363LP0200X
- 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