Provider Demographics
NPI:1881997781
Name:METZ, WILLIAM PAUL (LPNII)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:PAUL
Last Name:METZ
Suffix:
Gender:M
Credentials:LPNII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:469 E LATIMER LN
Mailing Address - Street 2:
Mailing Address - City:PUEBLO WEST
Mailing Address - State:CO
Mailing Address - Zip Code:81007-3578
Mailing Address - Country:US
Mailing Address - Phone:719-545-3904
Mailing Address - Fax:
Practice Address - Street 1:469 E LATIMER LN
Practice Address - Street 2:
Practice Address - City:PUEBLO WEST
Practice Address - State:CO
Practice Address - Zip Code:81007-3578
Practice Address - Country:US
Practice Address - Phone:719-545-3904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-15
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO23585164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse