person
Mrs. Christine Marie Dietrich, APRN,GNP-BC
Gerontology Nurse Practitioner in Marshfield, Wisconsin
NPI 1376747261

Christine Marie Dietrich is a Gerontology Nurse Practitioner based in Marshfield, WI and is specialized in Gerontology. Christine Marie Dietrich practices in Marshfield, WI and has the professional credentials of APRN,GNP-BC. The NPI Number for Christine Marie Dietrich is 1376747261 and holds a License No. R200410-1 (Wisconsin).

The current practice location address for Christine Marie Dietrich is 303 W Upham St Ste 200, Marshfield, WI and can be reached out via phone at 715-204-8555 and via fax at 715-384-8046.

Location: 303 W Upham St Ste 200, Marshfield, WI, 54449-1483
person
Provider Profile Details
NPI Number
1376747261
Provider Name
Christine Marie Dietrich
Credential
APRN,GNP-BC
Provider Entity Type
Individual
Gender
Female
Address
303 W Upham St Ste 200, Marshfield, WI, 54449-1483
Phone Number
715-204-8555
Fax Number
715-384-8046
Provider Enumeration Date
06/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004881926 01 WI MEDICARE PIN
1376747261 05 MN
1376747261 05 WI
institution
Provider Business Practice Location Address Details
Address
303 W Upham St Ste 200
City
State
Zip
54449-1483
Phone Number
715-204-8555
Fax Number
715-384-8046
person
Provider Business Mailing Address Details
Address
303 W Upham St Ste 200
City
State
Zip
54449-1483
Phone Number
715-204-8555
Fax Number
715-384-8046
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
R200410-1 (Minnesota)
Definition
Definition to come...
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