Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cassondra Dietrick

Individual provider Registered Nurse · NPI 1689402059

Cassondra Dietrick is a Registered Nurse in Madison, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2024

Practice location Address checks out

202 S Park St
Madison, WI 53715-1507
Phone: (608) 509-2415
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 241727-30 (WI)

Record details

NPI number1689402059
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 25, 2024
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024
Mailing address202 S Park St, Madison, WI 53715-1507

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