Provider Demographics
NPI:1437998382
Name:ZIETZ, ROBIN DARLING (CNA)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:DARLING
Last Name:ZIETZ
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:DARLING
Other - Last Name:EDWARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5039 VILLA LINDE PKWY STE 30
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3450
Mailing Address - Country:US
Mailing Address - Phone:989-401-2244
Mailing Address - Fax:
Practice Address - Street 1:6296 BRIDGEPORT VILLAGE SQUARE DR STE 2
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:MI
Practice Address - Zip Code:48722-9655
Practice Address - Country:US
Practice Address - Phone:989-401-1239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-21
Last Update Date:2025-09-20
Deactivation Date:2025-09-02
Deactivation Code:
Reactivation Date:2025-09-19
Provider Licenses
StateLicense IDTaxonomies
MI106S00000X
MIM04292025940856374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician