Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LG0600X | Nurse Practitioner - Gerontology | APRN.CNP.023293 | OH |
NPI | 1083192330 |
---|---|
Provider Name | Erin Lynn Metcalf |
First Address | Canton, OH 44718-3645 |
Second Address | Canton, OH 44718-3645 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2018 |
Last Update Date | 21/07/2021 |