| NPI | 1750682647 |
|---|---|
| Former Name | STEPHANIE ANN METLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 201507096NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 099000516RN) |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: OR 099000516RN) | |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2024-07-29 |