Provider Demographics
NPI:1205027992
Name:METZLER, DEBRA J (NP)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:J
Last Name:METZLER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1727 SHAWANO AVE
Mailing Address - Street 2:201
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54303-3268
Mailing Address - Country:US
Mailing Address - Phone:920-496-8877
Mailing Address - Fax:920-496-3061
Practice Address - Street 1:1727 SHAWANO AVE
Practice Address - Street 2:201
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54303-3268
Practice Address - Country:US
Practice Address - Phone:920-496-8877
Practice Address - Fax:920-496-3061
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI3156-33363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner