Provider Demographics
NPI:1831729920
Name:METZGER, SHEILA (APRN-BC)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:METZGER
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9798 S 80TH ST E
Mailing Address - Street 2:
Mailing Address - City:BRAGGS
Mailing Address - State:OK
Mailing Address - Zip Code:74423-5047
Mailing Address - Country:US
Mailing Address - Phone:918-781-2496
Mailing Address - Fax:
Practice Address - Street 1:2550 W FRANKLIN RD
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-8012
Practice Address - Country:US
Practice Address - Phone:405-701-7721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-17
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK101593363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health