Provider Demographics
NPI:1184801581
Name:METZLER, DONNA MARIE (RN)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:MARIE
Last Name:METZLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 W PHEASANT RUN CIR
Mailing Address - Street 2:
Mailing Address - City:CAMP VERDE
Mailing Address - State:AZ
Mailing Address - Zip Code:86322-6923
Mailing Address - Country:US
Mailing Address - Phone:928-567-2162
Mailing Address - Fax:
Practice Address - Street 1:312 W PHEASANT RUN CIR
Practice Address - Street 2:
Practice Address - City:CAMP VERDE
Practice Address - State:AZ
Practice Address - Zip Code:86322-6923
Practice Address - Country:US
Practice Address - Phone:928-567-2162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN133138163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool