Healthcare Provider Details

I. General information

NPI: 1487793329
Provider Name (Legal Business Name): SYLVIA METZLER RN, MSN, CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 02/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 W SOMERSET ST 2ND FLOOR
PHILADELPHIA PA
19133-3534
US

IV. Provider business mailing address

260 S BROAD ST 18TH FLOOR
PHILADELPHIA PA
19102-5021
US

V. Phone/Fax

Practice location:
  • Phone: 215-763-8870
  • Fax: 215-291-9153
Mailing address:
  • Phone: 215-985-2500
  • Fax: 267-765-2325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LC1500X
TaxonomyCommunity Health Nurse Practitioner
License NumberRN124951L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberUP000898B
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: