Provider Demographics
NPI:1154847739
Name:METCALFE, WHITNEY (APRN)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:METCALFE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 N DIXIE AVE
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-2521
Mailing Address - Country:US
Mailing Address - Phone:270-737-0678
Mailing Address - Fax:270-769-1535
Practice Address - Street 1:1009 N DIXIE AVE
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-2521
Practice Address - Country:US
Practice Address - Phone:270-737-0678
Practice Address - Fax:270-769-1535
Is Sole Proprietor?:No
Enumeration Date:2017-08-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3011399363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner