Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC1500X | Nurse Practitioner - Community Health | RN124951L | PA |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | UP000898B | PA |
NPI | 1487793329 |
---|---|
Provider Name | Ms. Sylvia Metzler |
First Address | Philadelphia, PA 19102-5021 |
Second Address | Philadelphia, PA 19133-3534 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2007 |
Last Update Date | 12/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0016336620003 | (05) | PA |
0016336620007 | (05) | PA |
544910 | (02) |