Provider Demographics
NPI:1578252037
Name:NIETZ, AARON
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:NIETZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1470 CARMEL DR
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43040-5551
Mailing Address - Country:US
Mailing Address - Phone:937-578-8805
Mailing Address - Fax:
Practice Address - Street 1:1470 CARMEL DR
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43040-5551
Practice Address - Country:US
Practice Address - Phone:937-578-8805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker