Provider Demographics
NPI:1669197927
Name:METZ, CHRISTINA (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:METZ
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2818 HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72756-3120
Mailing Address - Country:US
Mailing Address - Phone:479-466-7198
Mailing Address - Fax:
Practice Address - Street 1:2818 HIGHLAND DR
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-3120
Practice Address - Country:US
Practice Address - Phone:479-466-7198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR079605163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty