Derek Edward Nitz
Student in an Organized Health Care Education/Training Program in New Haven, CT. Individual provider (NPI-1).
NPI number1164038527
StatusActive
Last updated in NPPESJan 15, 2026
Details
- NPI
- 1164038527
- Entity type
- Individual (NPI-1)
- Name
- Derek Edward Nitz
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2020
- Certification date
- Jan 15, 2026
- Last updated
- Jan 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | 74835 | CT | Yes |
Practice location
20 York StNew Haven, CT 06510-3220
Phone 203-688-4242
Mailing address
20 York StNew Haven, CT 06510-3220
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