Doctor Name: | KRISTINE M. METZ |
NPI Number: | 1437208022 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, FNP-BC |
License Number: | 1576-33 |
Business Practice Address: | 2401 Plover Rd Plover, WI - 544673916 |
Business Phone Number: | 7152953800 |
Business Fax Number: | 7152953833 |
Mailing Address: | 2401 Plover Rd, PLOVER |
State: | WI |
Postal Code: | 544673916 |
Phone Number: | 7152953800 |
Fax Number: | 7152953833 |
NPI Enumeration Date: | 01/10/2007 |
NPI Last Update Date: | 04/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1576-33 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |