Provider Demographics
NPI:1023182615
Name:METTA, CATHY L (RNC)
Entity Type:Individual
Prefix:MS
First Name:CATHY
Middle Name:L
Last Name:METTA
Suffix:
Gender:F
Credentials:RNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 WILLOW AVE
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-2507
Mailing Address - Country:US
Mailing Address - Phone:732-942-8648
Mailing Address - Fax:
Practice Address - Street 1:8 WILLOW AVE
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-2507
Practice Address - Country:US
Practice Address - Phone:732-942-8648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO05915400163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ26NO05915400OtherNJ RN LICENSE