Provider Demographics
NPI:1205645660
Name:METZLER, MICHELLE MARIE
Entity type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:MARIE
Last Name:METZLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:645 CARPENTER RD
Mailing Address - Street 2:
Mailing Address - City:SUGARCRK TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45305-9712
Mailing Address - Country:US
Mailing Address - Phone:937-344-5295
Mailing Address - Fax:
Practice Address - Street 1:645 CARPENTER RD
Practice Address - Street 2:
Practice Address - City:SUGARCRK TWP
Practice Address - State:OH
Practice Address - Zip Code:45305-9712
Practice Address - Country:US
Practice Address - Phone:937-344-5295
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-31
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No172A00000XOther Service ProvidersDriver
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide