Provider Demographics
NPI:1174203954
Name:METZ, ERIN NICHOLE (DNP PNP)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:NICHOLE
Last Name:METZ
Suffix:
Gender:F
Credentials:DNP PNP
Other - Prefix:MS
Other - First Name:ERIN
Other - Middle Name:NICHOLE
Other - Last Name:MYLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP PNP
Mailing Address - Street 1:2401 GILLHAM RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-4619
Mailing Address - Country:US
Mailing Address - Phone:816-234-3000
Mailing Address - Fax:
Practice Address - Street 1:2401 GILLHAM RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-4619
Practice Address - Country:US
Practice Address - Phone:847-271-3672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-18
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-82367-1112080P0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0008XAllopathic & Osteopathic PhysiciansPediatricsNeurodevelopmental Disabilities