Healthcare Provider Details

I. General information

NPI: 1922915834
Provider Name (Legal Business Name): CAITLIN FRITZ
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28046 WATSON RD
DEFIANCE OH
43512-8851
US

IV. Provider business mailing address

28046 WATSON RD
DEFIANCE OH
43512-8851
US

V. Phone/Fax

Practice location:
  • Phone: 419-395-1111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number378337
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: