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NPI Code Detail

MEDICARE: MS. BRIANA RAE METZLER FNP-BC

MEDICARE: MS. BRIANA RAE METZLER FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse603353NY
2363LF0000XFamily Nurse Practitioner340755NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2F340755OTHERNY LICENSE

General Provider Information

NPI Number : 1184967978
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BRIANA RAE METZLER FNP-BC
Provider Business Mailing Address
First Line : 111 HOSPITAL DR
Second Line :
City : UTICA
State : NY
Zip : 13502-2517
Country : US
Telephone Number : 315-801-8534
Fax Number :
Provider Business Practice Location Address
First Line : 8411 SENECA TPKE
Second Line :
City : NEW HARTFORD
State : NY
Zip : 13413-4912
Country : US
Telephone Number : 315-624-8500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2013
Last Update Date : 05/12/2025

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