IndividualActive
Georgia Ditzenberger, NNP-BC, PHD
NPI 1043351778 · Neonatal Nurse Practitioner · Madison, WI
Provider details
- NPI number
- 1043351778
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NNP-BC, PHD
- Sex
- Female
- Sole proprietor
- No
- License
- 093006205N9 NNP-PP (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
202 S Park St
Madison, WI 53715-1507
Phone: (608) 417-6236
Fax: (608) 417-6377
Approximate (ZIP-level) locationGet directions
Mailing address
7974 Uw Health Ct
Middleton, WI 53562-5531
Registry dates
- Enumerated
- 2007-02-08
- Last updated
- 2015-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.