JANE ELLEN DIETZEL NPI 1093303240

NPI Information

NPI: 1093303240
Provider Name: JANE ELLEN DIETZEL
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Address:
12766 N OVERLOOK DR
RANCHO CUCAMONGA, CA
ZIP 91739
Phone: (909) 702-8704
Get Directions

Jane Ellen Dietzel is an acute care nurse practitioner in Rancho Cucamonga, CA. Jane Ellen Dietzel NPI is 1093303240. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12766 N OVERLOOK DR
RANCHO CUCAMONGA, CA
ZIP 91739-321
Phone: (909) 702-8704

The enumeration date for this NPI number is 1/4/2021 and was last updated on 1/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	301446	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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