Provider Demographics
NPI:1952934382
Name:METCALF, DIANA NOEL (APRN, NP-C)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:NOEL
Last Name:METCALF
Suffix:
Gender:F
Credentials:APRN, NP-C
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:NOEL
Other - Last Name:MCRAE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1400 N SH 123
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-7856
Mailing Address - Country:US
Mailing Address - Phone:512-396-3663
Mailing Address - Fax:
Practice Address - Street 1:1400 N SH 123
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-7856
Practice Address - Country:US
Practice Address - Phone:512-396-3663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-13
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP142918363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP142918OtherTEXAS BOARD OF NURSING- APRN
F08190486OtherAMERICAN ASSOCIATION OF NURSE PRACTITIONERS