Jane Ellen Dietzel, - Nurse Practitioner in Rancho Cucamonga, CA

Jane Ellen Dietzel, is a Nurse Practitioner - Acute Care based in Rancho Cucamonga, California. Jane Ellen Dietzel is licensed to practice in California (license number 301446) and her current practice location is 12766 N Overlook Dr, Rancho Cucamonga, California. She can be reached at her office (for appointments etc.) via phone at (909) 702-8704.

NPI number for Jane Ellen Dietzel is 1093303240 and her current mailing address is 12766 N Overlook Dr, Rancho Cucamonga, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093303240.

Contact Information

Jane Ellen Dietzel,
12766 N Overlook Dr,
Rancho Cucamonga, CA 91739-2321
(909) 702-8704
Not Available

Map and Direction




Provider's Profile

Full NameJane Ellen Dietzel
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location12766 N Overlook Dr, Rancho Cucamonga, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093303240
  • Provider Enumeration Date: 01/04/2021
  • Last Update Date: 01/04/2021

Medical Identifiers

Medical identifiers for Jane Ellen Dietzel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093303240NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 301446 (California)Primary

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. Jane Ellen Dietzel 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 AddressPractice Location Address
Jane Ellen Dietzel,
12766 N Overlook Dr,
Rancho Cucamonga, CA 91739-2321

Ph: (909) 702-8704
Jane Ellen Dietzel,
12766 N Overlook Dr,
Rancho Cucamonga, CA 91739-2321

Ph: (909) 702-8704

Reviews and Comments


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