NATHAN JENTZSCH RN - NPI 1730753195 - Registered Nurse in Provo, UT

Q: What is Nathan Jentzsch's NPI number?

The NPI number for Nathan Jentzsch is 1730753195. It was assigned to this individual provider in the NPPES registry on May 19, 2021.

Q: What is Nathan Jentzsch's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Diabetes Educator, with taxonomy code 163WD0400X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Jentzsch was last updated on May 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Nathan Jentzsch Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHAN JENTZSCH RN (NPI 1730753195) is an individual diabetes educator provider in Provo, Utah, licensed in Utah (10690070-3102) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1730753195

Entity TypeIndividualMale

Primary Taxonomy163WD0400X

Provider Legal NameNATHAN JENTZSCHCredential: RN

Location Address395 W COUGAR BLVD STE 401Provo, UT 84604-3338

Mailing Address395 W Cougar Blvd Ste 401Provo, UT 84604-3338 · (801) 357-7747

Phone(801) 357-7747

Sole ProprietorNo

Enumeration DateMay 19, 2021

NPPES CertifiedMay 19, 2021

✔ NPI 1730753195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers

Taxonomy Code163WD0400X

License✔ Licensed in UT · 10690070-3102

395 W COUGAR BLVD STE 401, Provo, UT 84604

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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN MADDOX

Registered Nurse (Diabetes Educator)