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

David J Dietrich

Individual provider Registered Nurse · NPI 1558127498

David J Dietrich is a Registered Nurse in Madison, Wisconsin. Practices as a sole proprietor. Licensed in Wyoming.

Licensed in
WY
In the registry since
2024

Practice location Address checks out

4802 E Broadway
Madison, WI 53716-4141
Phone: (608) 889-7500
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 130796 (WY)

Record details

NPI number1558127498
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 27, 2024
Last updated in NPPESFebruary 27, 2024
Certification dateFebruary 27, 2024
Mailing address8444 N 90th St Ste 100, Scottsdale, AZ 85258-4437

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