Individual provider · Type 1 NPI

Christine Marie Dietrich, APRN, GNP-BC

Gerontology Nurse Practitioner · Marshfield, WI

NPI number 1376747261 Active

Practice location

303 W Upham St Ste 200
Marshfield, WI 54449-1483

Call (715) 204-8555 Map

Fax (715) 384-8046

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600XR200410-1 (MN)
Gerontology Nurse Practitioner Primary 363LG0600X2004-33 (WI)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1376747261

Christine Marie Dietrich, APRN, GNP-BC's National Provider Identifier is 1376747261, issued on Jun 13, 2007. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Marshfield, WI. The record was last updated on Aug 14, 2019.