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

Zachary Austin Kietzman, NP-C

Individual provider Registered Nurse · NPI 1861012015

Zachary Austin Kietzman, NP-C is a Registered Nurse in Farmington, Connecticut. Licensed in Connecticut and Georgia. Registered with an NPI since 2020.

Licensed in
CT, GA
In the registry since
2020
Specialties on file
6
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

3 Farm Glen Blvd
Farmington, CT 06030-1285
Phone: (803) 629-4134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 12068 (CT)
Registered Nurse Taxonomy 163W00000X · Licence 209707 (CT)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence RN236642 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN236642 (GA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 12068 (CT)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence RN236642 (GA)

Record details

NPI number1861012015
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedApril 17, 2020
Last updated in NPPESAugust 20, 2023
Certification dateAugust 20, 2023

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