Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APRN11011926 | FL |
N | 363L00000X | Nurse Practitioner | SP019569 | PA |
NPI | 1003386244 |
---|---|
Provider Name | Meghan E Metcalf |
First Address | Gainesville, FL 32610 |
Second Address | Hershey, PA 17033-2360 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2018 |
Last Update Date | 02/06/2021 |