Provider Demographics
NPI:1285826883
Name:METZ, KAREN PENCE (NP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:PENCE
Last Name:METZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1900 MAIN AVE SW
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35055-7200
Mailing Address - Country:US
Mailing Address - Phone:256-739-0455
Mailing Address - Fax:256-739-2706
Practice Address - Street 1:1900 MAIN AVE SW
Practice Address - Street 2:SUITE 3
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-7200
Practice Address - Country:US
Practice Address - Phone:256-739-0455
Practice Address - Fax:256-739-2706
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-16
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL1-080321163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse