Healthcare Provider Details

I. General information

NPI: 1376413609
Provider Name (Legal Business Name): SAVANNAH JEAN MYERS METZLER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2025
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1575 HIGHLANDS DR STE 101
LITITZ PA
17543-7507
US

IV. Provider business mailing address

450 N WATER ST
LITITZ PA
17543-1224
US

V. Phone/Fax

Practice location:
  • Phone: 717-393-1338
  • Fax:
Mailing address:
  • Phone: 717-316-3512
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberSP029791
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberSP029791
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP029791
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: