| Doctor Name: | MRS. CHRISTINE MARIE DIETRICH |
| NPI Number: | 1376747261 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, GNP-BC |
| License Number: | R200410-1 |
| Business Practice Address: | 235 E State St St. Croix Regional Medical Center Saint Croix Falls, WI - 540244117 |
| Business Phone Number: | 7154833261 |
| Business Fax Number: | |
| Mailing Address: | 235 E State St, St. Croix Regional Medical Center SAINT CROIX FALLS |
| State: | WI |
| Postal Code: | 540244117 |
| Phone Number: | 7157731155 |
| Fax Number: | |
| NPI Enumeration Date: | 06/13/2007 |
| NPI Last Update Date: | 09/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | R200410-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |