Individual
ANNA KARYN NIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1350
(612) 330-1101
Mailing address
340 SUGARLOAF PKWY, ZUMBROTA, MN 55992-1335
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/19/2020
Last updated
06/04/2025
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