Georgia R. Ditzenberger, NNP-BC, PHD Valid NPI
Individual provider · Neonatal Nurse Practitioner · Madison, WI
- NPI
- 1043351778
- Type
- Individual (Type 1)
- Primary specialty
- Neonatal Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LN0000X
- License number
- 3563-033 (WI)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-02-08
- Last updated
- 2015-12-14
Practice location
202 S Park St
Madison, WI 53715-1507
(608) 417-6236