Ms Diane Munyon Dietterle, NURSE PRACTITIONER is a
Nurse Practitioner - Adult Health based in Dana Point, California. Ms Diane Munyon Dietterle is licensed to practice in California (license number 11140) and her current practice location is
34012 El Contento Dr, Dana Point, California. She can be reached at her office (for appointments etc.) via phone at
(949) 525-8795.
NPI number for Ms Diane Munyon Dietterle is 1417125469 and her current mailing address is 34012 El Contento Dr, Dana Point, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417125469.
Provider's Profile
| Full Name | Ms Diane Munyon Dietterle |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
|---|
| Location | 34012 El Contento Dr, Dana Point, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417125469
- Provider Enumeration Date: 02/12/2008
- Last Update Date: 02/12/2008
Medical Identifiers
Medical identifiers for Ms Diane Munyon Dietterle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417125469 | NPI | - | NPPES |
| 108971 | Other | OR | MEDICARE NUMBER: INACTIVE |
| S95183 | Other | OR | UPIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 199901 (California) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 11140 (California) | Primary |
| 363LW0102X | Nurse Practitioner - Women's Health | 11140 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Diane Munyon Dietterle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Diane Munyon Dietterle, NURSE PRACTITIONER
34012 El Contento Dr,
Dana Point, CA 92629-2666
Ph: (949) 525-8795 | Ms Diane Munyon Dietterle, NURSE PRACTITIONER
34012 El Contento Dr,
Dana Point, CA 92629-2666
Ph: (949) 525-8795 |
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