Provider Demographics
NPI:1376227181
Name:METRIONE, OLIVIA (FNP-C)
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:METRIONE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 SUMMER RANCH DR
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-3973
Mailing Address - Country:US
Mailing Address - Phone:973-349-6435
Mailing Address - Fax:
Practice Address - Street 1:6274 GLENWOOD AVE STE 106
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-2637
Practice Address - Country:US
Practice Address - Phone:919-887-8374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5017755363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily