Provider Demographics
NPI:1245958057
Name:METZGER, KRISTIN (RN)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:METZGER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1206 LEEDS TER
Mailing Address - Street 2:
Mailing Address - City:HALETHORPE
Mailing Address - State:MD
Mailing Address - Zip Code:21227-1309
Mailing Address - Country:US
Mailing Address - Phone:410-365-1692
Mailing Address - Fax:
Practice Address - Street 1:1206 LEEDS TER
Practice Address - Street 2:
Practice Address - City:HALETHORPE
Practice Address - State:MD
Practice Address - Zip Code:21227-1309
Practice Address - Country:US
Practice Address - Phone:410-365-1692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-17
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR209955163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH1000XNursing Service ProvidersRegistered NurseHospice