Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Max Aaron Edward Nutkiewicz

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114777018

Max Aaron Edward Nutkiewicz is a Student in an Organized Health Care Education/Training Program in Sylmar, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

14445 Olive View Dr Dept OF Medicine Rm 2B182
Sylmar, CA 91342
Phone: (818) 519-2107
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1114777018
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 25, 2024
Last updated in NPPESMarch 25, 2024
Certification dateMarch 24, 2024
Mailing address5025 Read Rd, Moorpark, CA 93021-8766

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