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1922739358
CASEY NIETZ
ST JOHNS, FL
NPI
1922739358
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11020289)
Enumeration Date
2022-06-17
Last Update Date
2024-02-02
Business Address
Mrs. CASEY NIETZ APRN
170 FOUNTAINS WAY STE 6
ST JOHNS, FL 32259-1173
Phone number: 904-382-6589
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Mailing Address
Mrs. CASEY NIETZ APRN
4846 PARKHURST PL
JACKSONVILLE, FL 32256-6046
Phone number:
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