MEDICARE: MS. HEATHER J METZGER CRNP

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
1	363LF0000X	Family Nurse Practitioner	SP008050	PA
2	363L00000X	Nurse Practitioner	SP008050	PA

Other Identifiers

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

General Provider Information

NPI Number	:	1508887803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HEATHER J METZGER CRNP

Provider Business Mailing Address
First Line	:	409 S 2ND ST
Second Line	:	SUITE 2F
City	:	HARRISBURG
State	:	PA
Zip	:	17104-1612
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2808 OLD POST RD
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17110-3685
Country	:	US
Telephone Number	:	717-920-4400
Fax Number	:	717-920-4553

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	01/27/2021

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