# MS. DIANE MUNYON DIETTERLE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1417125469
- **Gender:** F
- **Credential:** NURSE PRACTITIONER

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 199901 | CA | — |
| 363LA2200X | Adult Health Nurse Practitioner | 11140 | CA | Yes |
| 363LW0102X | Women's Health Nurse Practitioner | 11140 | CA | — |

## Other

- **Enumeration date:** 02/12/2008
- **Last updated:** 02/12/2008