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Search › Connecticut › Primary Care Nurse Practitioner

Zachary Kietzman, NP-C

NPI 1861012015 · on the registry since 2020

Practice

Address
3 Farm Glen Blvd
Farmington, CT 06030
Phone
(803) 629-4134
Organisation at this address
Prohealth Physicians Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
Primary Care Nurse Practitioner
363LP2300X
Also registered as
Registered Nurse
Gerontology Nurse Practitioner
Registered Nurse
Gerontology Nurse Practitioner
Primary Care Nurse Practitioner
Licence states on file
CT, GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-08-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut