Healthcare Provider Details

I. General information

NPI: 1831729920
Provider Name (Legal Business Name): SHEILA METZGER APRN-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2020
Last Update Date: 01/17/2020
Certification Date: 01/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 W FRANKLIN RD
NORMAN OK
73069-8012
US

IV. Provider business mailing address

9798 S 80TH ST E
BRAGGS OK
74423-5047
US

V. Phone/Fax

Practice location:
  • Phone: 405-701-7721
  • Fax:
Mailing address:
  • Phone: 918-781-2496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number101593
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: