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NPI Code Detail

MEDICARE: MRS. BONNIE JANE METZGER RN

MEDICARE: MRS. BONNIE JANE METZGER RN
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 NurseRN1120382FL

General Provider Information

NPI Number : 1871756221
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BONNIE JANE METZGER RN
Provider Business Mailing Address
First Line : 610 NW 9TH CT
Second Line :
City : BOCA RATON
State : FL
Zip : 33486-3492
Country : US
Telephone Number : 561-271-8118
Fax Number :
Provider Business Practice Location Address
First Line : 2901 BROADWAY
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33407-5131
Country : US
Telephone Number : 561-271-8118
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2008
Last Update Date : 07/07/2008

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