Provider Demographics
NPI:1891028502
Name:METZGER, STEPHANIE GAIL (DNP,RN,CPNP)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:GAIL
Last Name:METZGER
Suffix:
Gender:F
Credentials:DNP,RN,CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 HANOVER AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23220-4013
Mailing Address - Country:US
Mailing Address - Phone:804-358-6652
Mailing Address - Fax:
Practice Address - Street 1:515 N 10TH ST
Practice Address - Street 2:BOX 980489
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5040
Practice Address - Country:US
Practice Address - Phone:804-828-2641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-13
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01094676363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics