Provider Demographics
NPI:1750866430
Name:METZGER, HEATHER ELLEN (APRN)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:ELLEN
Last Name:METZGER
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 1:7167 BLUE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46062-4615
Mailing Address - Country:US
Mailing Address - Phone:517-617-2812
Mailing Address - Fax:
Practice Address - Street 1:1202 E TIPTON ST
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:IN
Practice Address - Zip Code:47274-3540
Practice Address - Country:US
Practice Address - Phone:812-672-4933
Practice Address - Fax:812-672-4934
Is Sole Proprietor?:No
Enumeration Date:2018-09-28
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28177062A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily