Provider Demographics
NPI:1699651521
Name:NIESCHWITZ, NATALIE (MFN, RD, LD)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:NIESCHWITZ
Suffix:
Gender:F
Credentials:MFN, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8263 DEERPOINTE DR
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43617-1823
Mailing Address - Country:US
Mailing Address - Phone:419-307-4912
Mailing Address - Fax:
Practice Address - Street 1:8263 DEERPOINTE DR
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43617-1823
Practice Address - Country:US
Practice Address - Phone:419-307-4912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLD.10320133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered